Individual provider Active NPI

David Emanuel Sollenberger, D.M.D

  • General Practice Dentistry
  • Vestavia, AL
National Provider Identifier
1154857126
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6452 Issued in AL
Practice address
2496 Rocky Ridge Rd
Vestavia, AL 35243-2850
Phone
(205) 438-7213
NPI assigned
May 11, 2017
Last updated
May 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6452 AL Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

2496 Rocky Ridge Rd
Vestavia, AL 35243-2850

Mailing address

2496 Rocky Ridge Rd
Vestavia, AL 35243-2850
Phone (205) 438-7213

Other practice location 1

1813 6th Ave S
University of Alabama School of Dentistry B50 Russell W
Birmingham, AL 35233-1920
Phone (205) 934-4178

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171206001704 AL Order and Referring Only - DentistPractitioner - Dentist 1254698889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6452ALMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1154857126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2496 ROCKY RIDGE RD",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352432850",
            "telephone_number": "205-438-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2496 ROCKY RIDGE RD",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352432850",
            "telephone_number": "205-438-7213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1813 6th Ave S",
            "address_2": "University of Alabama School of Dentistry B50 Russell W",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331920",
            "country_code": "US",
            "telephone_number": "205-934-4178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLLENBERGER",
        "first_name": "DAVID",
        "middle_name": "EMANUEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "6452",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

Verify at the official NPI Registry.