Kaytlyn Carlson McAllister, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D.007317-C1 Issued in AL

Practice address

1700 6TH Ave N
Bessemer, AL 35020-4849

Phone

(205) 434-2031

NPI assigned

May 31, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Mission Dental Mobile LLC

  dba Miles of Smiles

  • Dentist
  • Bessemer, AL
  • NPI 1205694932
  NPD

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1154014504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 6TH AVE N",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350204849",
            "telephone_number": "205-434-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 6TH AVE N",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350204849",
            "telephone_number": "205-434-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCALLISTER",
        "first_name": "KAYTLYN",
        "middle_name": "CARLSON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "D.007317-C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Ralph Massey, MAC MHC; D.MIN
• Laith Matalka, DMD
• Adam Paul Mather, DDS
• Reginald Mays
• McAdory Area Fire District
• Ronald Hagood McCay
• Kate McConathy, CRNP
• Emily McCord, CRNP
• Ovuke' Emonina McCoy
• Sonya R McCurdy, LICSWPIPMPHMDIV DMIN

• General Practice Dentistry in Bessemer, AL
• Providers in Bessemer, 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 Jun 11, 2024; 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.