NPIMap

Organization Active NPI

CGF DDS PC

  • Durable Medical Equipment & Medical Supplies
  • Huntsville, AL
National Provider Identifier
1982907473
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CGF DDS PC
Practice address
10300 Bailey Cove Rd SE
Ste 4
Huntsville, AL 35803-2635
Phone
(256) 650-0724
Fax
(256) 650-0872
NPI assigned
Dec 6, 2010
Organization subpart
Yes
Parent organization
CGF DDS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Authorized official

Name
Dr. Clifton Frazier Jr., DDSNPI 1174658546
Title
President
Phone
(256) 650-0724

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

10300 Bailey Cove Rd SE
Ste 4
Huntsville, AL 35803-2635

Mailing address

10300 Bailey Cove Rd SE
Ste 4
Huntsville, AL 35803-2635
Phone (256) 650-0724

Other names 1

  • Bailey Cove Family Dentistry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160827000316 AL DME Supplier - Oral Surgery - DentistDME Supplier - Orthotic Personnel 7810282928 Practice locations: Huntsville, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
CGF DDS PC10300 Bailey Cove Rd SE, Huntsville, AL 35803-2635(256) 650-0724 Facial Prostheses Does not accept assignmentParticipating since Aug 27, 2016

National Provider Directory

National Provider Directory
Part of
CGF DDS PC

Locations

10300 Bailey Cove Rd SE
Ste 4
Huntsville, AL 35803
Phone (256) 650-0724

Practitioners & affiliated clinicians

Practitioners 2

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": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1982907473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 BAILEY COVE RD SE",
            "address_2": "STE 4",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358032635",
            "telephone_number": "256-650-0724",
            "fax_number": "256-650-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 BAILEY COVE RD SE",
            "address_2": "STE 4",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358032635",
            "telephone_number": "256-650-0724",
            "fax_number": "256-650-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CGF DDS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CGF DDS PC",
        "enumeration_date": "2010-12-06",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "CLIFTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-650-0724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bailey Cove Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bailey Cove Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.