Active NPI
Rodney Allen Tittle, DMD
- General Practice Dentistry
- Winfield, AL
National Provider Identifier
1164526281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4673
- Practice address
- 895 Bankhead Hwy
Winfield, AL 35594 - Phone
- (205) 487-5004
- Fax
- (205) 487-4376
- NPI assigned
- Sep 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4673 | AL | Primary |
Addresses
Primary practice location
895 Bankhead Hwy
Winfield, AL 35594
Mailing address
895 Bankhead Hwy
Winfield, AL 35594
Phone (205) 487-5004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45972 | Other | BCBS |
Other names 1
- Dr. Rodney Tittle
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 |
|---|---|---|---|
| 4673 | AL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Rodney a. Tittle | Current | Accepting new patients | |
| Dr. Rodney a. Tittle | Current | Accepting new patients |
Locations
895 Bankhead Hwy
Winfield, AL 35594
Phone (205) 487-5004
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Muscle Shoals, AL
- NPI 1376276758
-
- Dentist
- Winfield, AL
- NPI 1083582811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164526281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "895 BANKHEAD HWY",
"city": "WINFIELD",
"state": "AL",
"postal_code": "35594",
"telephone_number": "205-487-5004",
"fax_number": "205-487-4376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "895 BANKHEAD HWY",
"city": "WINFIELD",
"state": "AL",
"postal_code": "35594",
"telephone_number": "205-487-5004",
"fax_number": "205-487-4376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TITTLE",
"first_name": "RODNEY",
"middle_name": "ALLEN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "4673",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "45972",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RODNEY",
"last_name": "TITTLE",
"prefix": "DR.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Winfield, 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.