NPIMap

Organization Active NPI

Dental Associates of Tuscaloosa LLC

  • Dentist
  • Tuscaloosa, AL
National Provider Identifier
1942394820
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5177 Issued in AL
Legal business name
DENTAL ASSOCIATES OF TUSCALOOSA LLC
Practice address
217 McFarland Circle North
Tuscaloosa, AL 34506
Phone
(205) 345-7755
Fax
(205) 343-9075
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Jerry Andrew Fikes, DMD MAGDNPI 1063592525
Title
Owner Dentist
Phone
(205) 345-7755

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 3162 AL
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 5177 AL Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X

Addresses

Primary practice location

217 McFarland Circle North
Tuscaloosa, AL 34506

Mailing address

217 McFarland Circle North
Tuscaloosa, AL 34506
Phone (205) 345-7755

Other identifiers 2

IdentifierTypeStateIssuer
51506076OtherALBLUE CROSS BLUE SHIELD
51526480OtherALBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1942394820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 MCFARLAND CIRCLE NORTH",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "34506",
            "telephone_number": "205-345-7755",
            "fax_number": "205-343-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 MCFARLAND CIRCLE NORTH",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "34506",
            "telephone_number": "205-345-7755",
            "fax_number": "205-343-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOCIATES OF TUSCALOOSA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "FIKES",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "205-345-7755",
        "authorized_official_credential": "DMD MAGD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AL",
            "license": "3162",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AL",
            "license": "5177",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51506076",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51526480",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.