Organization Active NPI

Fife Family Dentistry, LLC

  • Dentist
  • Prattville, AL
National Provider Identifier
1912309287
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5795 Issued in AL
Legal business name
FIFE FAMILY DENTISTRY, LLC
Practice address
1783 E Main St
Prattville, AL 36066-5562
Phone
(334) 361-9959
NPI assigned
Sep 18, 2014
Last updated
Sep 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Authorized official

Name
Dr. Robert Nathan Fife Jr., D.M.D.NPI 1609183979
Title
Owner
Phone
(334) 361-9959

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5795 AL Primary

Addresses

Primary practice location

1783 E Main St
Prattville, AL 36066-5562

Mailing address

1783 E Main St
Prattville, AL 36066-5562
Phone (334) 361-9959

National Provider Directory

National Provider Directory

Locations

1783 E Main St
Prattville, AL 36066
Phone (334) 361-9959

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1912309287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1783 E MAIN ST",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360665562",
            "telephone_number": "334-361-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1783 E MAIN ST",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360665562",
            "telephone_number": "334-361-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIFE FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "FIFE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-361-9959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "5795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prattville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.