Individual provider Active NPI

Sally Fisk Lamberth, M.D.

  • General Practice Dentistry
  • Alexander City, AL
National Provider Identifier
1144325903
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4174 Issued in AL
Practice address
6 Franklin St
Alexander City, AL 35010-1913
Phone
(256) 234-6401
Fax
(256) 234-6191
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4174 AL Primary

Addresses

Primary practice location

6 Franklin St
Alexander City, AL 35010-1913

Mailing address

6 Franklin St
Alexander City, AL 35010-1913
Phone (256) 234-6401

Other identifiers 1

IdentifierTypeStateIssuer
90584OtherALBLUE CROSS BLUE SHIELD

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 Medicine

State licenses

LicenseStateTypeSpecialty
4174ALMDHand Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144325903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 FRANKLIN ST",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350101913",
            "telephone_number": "256-234-6401",
            "fax_number": "256-234-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 FRANKLIN ST",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350101913",
            "telephone_number": "256-234-6401",
            "fax_number": "256-234-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBERTH",
        "first_name": "SALLY",
        "middle_name": "FISK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "90584",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexander City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.