Active NPI
Matthew D Litz
- Periodontics
- Birmingham, AL
National Provider Identifier
1134314289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 5543
- Practice address
- 400 Century Park S
Suite 200
Birmingham, AL 35226-3945 - Phone
- (205) 822-3222
- Fax
- (205) 822-3504
- NPI assigned
- Sep 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 5543 | AL | Primary |
Addresses
Primary practice location
400 Century Park S
Suite 200
Birmingham, AL 35226-3945
Mailing address
400 Century Park S
Suite 200
Birmingham, AL 35226-3945
Phone (205) 822-3222
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5543 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama Dental Specialist LLC | Periodontics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Periodontics
- Troy, MI
- NPI 1619599297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189555200000",
"number": "1134314289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 CENTURY PARK S",
"address_2": "SUITE 200",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352263945",
"telephone_number": "205-822-3222",
"fax_number": "205-822-3504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 CENTURY PARK S",
"address_2": "SUITE 200",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352263945",
"telephone_number": "205-822-3222",
"fax_number": "205-822-3504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITZ",
"first_name": "MATTHEW",
"middle_name": "D",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-12",
"last_updated": "2007-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "AL",
"license": "5543",
"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 Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.