Individual provider Active NPI

Cory Davis Hatch, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Huntsville, AL
National Provider Identifier
1780130575
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D.007708-C Issued in AL
Practice address
201 Sivley Rd SW Ste 550
Huntsville, AL 35801-5102
Phone
(256) 265-9981
Fax
(256) 265-9990
NPI assigned
Aug 31, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X MD.54907 AL
Oral and Maxillofacial Surgery (Dentist) 1223S0112X D.007708-C AL Primary

Addresses

Primary practice location

201 Sivley Rd SW Ste 550
Huntsville, AL 35801-5102

Mailing address

PO Box 21007
Huntsville, AL 35813-5007
Phone (256) 265-9981

Other practice location 1

101 Sivley Rd SW
Huntsville, AL 35801-4421
Phone (256) 265-9981

Other practice location 2

245 Governors Dr SE
Huntsville, AL 35801-2700
Phone (256) 265-9981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210720000751 WI Order and Referring Only - Maxillofacial SurgeryPractitioner - Maxillofacial Surgery 3870996556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1001359-15WIMDStudent in an Organized Health Care Education/Training Program

Interoperability endpoints

  • Direct secure messaging: chatch5241639@direct.casso.us.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1780130575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21007",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358135007",
            "telephone_number": "256-265-9981",
            "fax_number": "256-265-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SIVLEY RD SW STE 550",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015102",
            "telephone_number": "256-265-9981",
            "fax_number": "256-265-9990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Sivley Rd SW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358014421",
            "country_code": "US",
            "telephone_number": "256-265-9981",
            "fax_number": "256-265-9990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 Governors Dr SE",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358012700",
            "country_code": "US",
            "telephone_number": "256-265-9981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATCH",
        "first_name": "CORY",
        "middle_name": "DAVIS",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-31",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "AL",
            "license": "MD.54907",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AL",
            "license": "D.007708-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.