Organization Active NPI

Birmingham Dental, PLLC

  • General Practice Dentistry
  • Birmingham, AL
National Provider Identifier
1053019117
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BIRMINGHAM DENTAL, PLLC
Practice address
1021 19TH St S
Birmingham, AL 35205-4803
Phone
(205) 837-5602
NPI assigned
Feb 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Authorized official

Name
Dr. Gary Shelden Cramer III, DMDNPI 1275915076
Title
Owner Dentist
Phone
(205) 837-5602

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1021 19TH St S
Birmingham, AL 35205-4803

Mailing address

543 Founders Park Cir
Hoover, AL 35226-4148
Phone (205) 837-5602

National Provider Directory

National Provider Directory

Locations

1021 19th St S
Birmingham, AL 35205
Phone (205) 324-1323

Practitioners & affiliated clinicians

Practitioners 1

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": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1053019117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 FOUNDERS PARK CIR",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352264148",
            "telephone_number": "205-837-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054803",
            "telephone_number": "205-837-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRMINGHAM DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "CRAMER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "SHELDEN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "205-837-5602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.