Active NPI
Lucas Joseph Windham
- Dentist
- Bessemer, AL
National Provider Identifier
1164318465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D.007454-C1
- Practice address
- 1700 6TH Ave N
Bessemer, AL 35020-4849 - Phone
- (205) 423-2031
- NPI assigned
- Jun 16, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DGD.11141 | SC | |
| Dentist | 122300000X | D.007454-C1 | AL | Primary |
Addresses
Primary practice location
1700 6TH Ave N
Bessemer, AL 35020-4849
Mailing address
2850 Venice Rd Apt 7105
Birmingham, AL 35211-7027
Phone (843) 696-7295
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DGD.11141 | Other | SC | SOUTH CAROLINA DENTAL LICENSE |
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 |
|---|---|---|---|
| D.007454-C1 | AL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782518400000",
"number": "1164318465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2850 VENICE RD APT 7105",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352117027",
"telephone_number": "843-696-7295"
},
{
"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": "205-423-2031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINDHAM",
"first_name": "LUCAS",
"middle_name": "JOSEPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-16",
"last_updated": "2026-06-27",
"certification_date": "2026-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "DGD.11141",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "D.007454-C1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTH CAROLINA DENTAL LICENSE",
"identifier": "DGD.11141",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bessemer, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.