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DR. KEVIN JOHN FAIRCLOUGH DMD
NPI 1447408752
Dentist - General Practice in Huntsville, AL

Active since August 29, 2008Opted out of Medicare · through Nov 16, 2027
513 FOUR MILE POST RD SE, HUNTSVILLE, AL 35802(256) 503-4693 Get Directions Write a Review

NPPES record last updated: April 17, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kevin John Fairclough Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEVIN JOHN FAIRCLOUGH DMD (NPI 1447408752) is an individual general practice provider in Huntsville, Alabama, licensed in Alabama (3843) and active in the NPI registry since August 2008. He has opted out of Medicare through November 16, 2027.

NPPES Registry Identity

NPI1447408752
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KEVIN JOHN FAIRCLOUGHCredential: DMD
Location Address513 FOUR MILE POST RD SEHuntsville, AL 35802-2345
Mailing Address513 Four Mile Post Rd SeHuntsville, AL 35802-2345 · (256) 503-4693
Phone(256) 503-4693
Sole ProprietorYes
Enumeration DateAugust 29, 2008
Last NPPES UpdateApril 17, 2015
✔ NPI 1447408752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AL · 3843
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
513 FOUR MILE POST RD SE, Huntsville, AL 35802
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kevin John Fairclough Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 16, 2015 through November 16, 2027.

Opt-Out Effective DateNovember 16, 2015
Opt-Out In Effect ThroughNovember 16, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Fairclough's NPI number?

The NPI number for Kevin Fairclough is 1447408752. It was assigned to this individual provider in the NPPES registry on August 29, 2008.

Where is Kevin Fairclough located?

Kevin Fairclough practices at 513 Four Mile Post Rd SE, Huntsville, AL 35802. The listed phone number is (256) 503-4693.

What is Kevin Fairclough's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kevin Fairclough enrolled in Medicare?

No. Kevin Fairclough has opted out of Medicare through November 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kevin Fairclough was last updated on April 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.