Individual provider Active NPI

Murray Dickson, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Huntsville, AL
National Provider Identifier
1073816807
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
5191 Issued in AL
Practice address
1111 Gleneagles Dr SW
Suite B
Huntsville, AL 35801-7417
Phone
(256) 882-9483
Fax
(256) 882-9493
NPI assigned
Dec 16, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 5191 AL Primary

Addresses

Primary practice location

1111 Gleneagles Dr SW
Suite B
Huntsville, AL 35801-7417

Mailing address

1111 Gleneagles Dr SW
Suite B
Huntsville, AL 35801-7417
Phone (256) 882-9483

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

State licenses

LicenseStateTypeSpecialty
5191ALMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Producing Smiles Orthodontics Orthodontics and Dentofacial Orthopedics Past Accepting new patients
Producing Smiles Orthodontics PC Orthodontics and Dentofacial Orthopedics Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292457600000",
    "number": "1073816807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 GLENEAGLES DR SW",
            "address_2": "SUITE B",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358017417",
            "telephone_number": "256-882-9483",
            "fax_number": "256-882-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 GLENEAGLES DR SW",
            "address_2": "SUITE B",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358017417",
            "telephone_number": "256-882-9483",
            "fax_number": "256-882-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "MURRAY",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-16",
        "last_updated": "2010-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AL",
            "license": "5191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 16, 2010; 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.