Ally Pritchett Mizerany

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-0006919-C1 Issued in AL

Practice address

217 McFarland Cir N
Tuscaloosa, AL 35406-1800

Phone

(205) 345-7755

NPI assigned

Mar 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dental Associates of Tuscaloosa LLC

  • Dentist
  • Tuscaloosa, AL
  • NPI 1942394820

  General Practice

  NPD (past)
• Vandervoort Family Dentistry, PC

  • General Practice Dentistry
  • Tuscaloosa, AL
  • NPI 1841785052
  NPD (past)

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1124606447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 RALEIGH AVE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 MCFARLAND CIR N",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354061800",
            "telephone_number": "205-345-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZERANY",
        "first_name": "ALLY",
        "middle_name": "PRITCHETT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "D-0006919-C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clayton Miller Mitchell, DC
• Lisbeth C Mitchell, LCSW
• Caleb A Mixon
• Susana Mixson, PHARM.D.
• Shirley Jean Mizell, RN, HEALTH EDUCATOR
• MJM GTT Spa LLC
• Modern Day Living Cerified Residential Facility
• Stacey Epperson Moffitt, PA
• Shuaib Mohamed, M.D.
• Mark Mohler, M.S., ATC

• General Practice Dentistry in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.