Individual provider Active NPI

Dennis Alan Twedt, D.O.

  • Pediatrics Physician
  • Albany, GA
National Provider Identifier
1053578427
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
063038 Issued in GA
Practice address
1909 Aberdeen Rd
Suite 106
Albany, GA 31701-1393
Phone
(229) 432-7444
Fax
(229) 432-7445
NPI assigned
May 21, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 063038 GA Primary
Pediatrics Physician 208000000X 247799 NY

Addresses

Primary practice location

1909 Aberdeen Rd
Suite 106
Albany, GA 31701-1393

Mailing address

1909 Aberdeen Rd
Suite 106
Albany, GA 31701-1393
Phone (229) 432-7444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
063038GAMDPediatrics Physician
247799NYMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259884800000",
    "number": "1053578427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 ABERDEEN RD",
            "address_2": "SUITE 106",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011393",
            "telephone_number": "229-432-7444",
            "fax_number": "229-432-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 ABERDEEN RD",
            "address_2": "SUITE 106",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011393",
            "telephone_number": "229-432-7444",
            "fax_number": "229-432-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWEDT",
        "first_name": "DENNIS",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2009-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "063038",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "247799",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; 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.