Active NPI
Alan B Drewry, DDS
- Dentist
- Fayetteville, TN
National Provider Identifier
1932286259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS2758
- Practice address
- 602 West College Street
Fayetteville, TN 37334 - Phone
- (931) 433-5735
- Fax
- (931) 433-5736
- NPI assigned
- Nov 1, 2006
- Last updated
- Aug 30, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS2758 | TN | Primary |
Addresses
Primary practice location
602 West College Street
Fayetteville, TN 37334
Mailing address
PO Box 696
Fayetteville, TN 37334
Phone (931) 433-5735
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS2758 | TN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314662400000",
"number": "1932286259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 696",
"city": "FAYETTEVILLE",
"state": "TN",
"postal_code": "37334",
"telephone_number": "931-433-5735",
"fax_number": "931-433-5736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 WEST COLLEGE STREET",
"city": "FAYETTEVILLE",
"state": "TN",
"postal_code": "37334",
"telephone_number": "931-433-5735",
"fax_number": "931-433-5736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREWRY",
"first_name": "ALAN",
"middle_name": "B",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2011-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "DS2758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.