Individual provider Active NPI

Nina Salei, DMD

  • Dentist
  • Birmingham, AL
National Provider Identifier
1174047633
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6456 Issued in AL
Practice address
2020 5TH Ave S Apt 343
Birmingham, AL 35233-2146
Phone
(484) 470-5126
NPI assigned
Jul 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6456 AL
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 6456 AL Primary

Addresses

Primary practice location

2020 5TH Ave S Apt 343
Birmingham, AL 35233-2146

Mailing address

2020 5TH Ave S Apt 343
Birmingham, AL 35233-2146
Phone (484) 470-5126

Other names 1

  • Nina Subach Former name

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
I20170927002629 AL Order and Referring Only - DentistPractitioner - Dentist 1052685153

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6456ALMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1174047633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 5TH AVE S APT 343",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352332146",
            "telephone_number": "484-470-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 5TH AVE S APT 343",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352332146",
            "telephone_number": "484-470-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEI",
        "first_name": "NINA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "6456",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "6456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NINA",
            "last_name": "SUBACH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.