Individual provider Active NPI

Carmel M Lecorps, DMD

  • General Practice Dentistry
  • Birmingham, AL
National Provider Identifier
1023239050
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D.0004799 Issued in AL
Practice address
3179 Green Valley Rd
Ste # 422
Birmingham, AL 35243
Phone
(205) 262-9287
NPI assigned
May 1, 2007
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN016026 GA
General Practice Dentistry 1223G0001X D.0004799 AL Primary

Addresses

Primary practice location

3179 Green Valley Rd
Ste # 422
Birmingham, AL 35243

Mailing address

3179 Green Valley Rd
Ste # 422
Birmingham, AL 35243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160720000137 AL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1951694561

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D.0004799ALMDGeneral Practice Dentistry
DN016026GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Smiles, LLC General Practice Past Accepting new patients
Kuntal S Pandit DMD PC General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: clecorps342492@direct.ochin.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1023239050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3179 GREEN VALLEY RD",
            "address_2": "STE # 422",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3179 GREEN VALLEY RD",
            "address_2": "STE # 422",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35243",
            "telephone_number": "205-262-9287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECORPS",
        "first_name": "CARMEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN016026",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "D.0004799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.