Individual provider Active NPI

William Andrew Clingan, DMD

  • General Practice Dentistry
  • Birmingham, AL
National Provider Identifier
1174213821
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
007180-C1 Issued in AL
Practice address
1919 7TH Ave S
Birmingham, AL 35233-2005
Phone
(205) 934-3000
NPI assigned
May 8, 2023
Last updated
Jun 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 007180-C1 AL Primary

Addresses

Primary practice location

1919 7TH Ave S
Birmingham, AL 35233-2005

Mailing address

2161 Clearbrook Rd
Hoover, AL 35226-1520
Phone (205) 823-2577

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

LicenseStateTypeSpecialty
007180-C1ALMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bluff Park Dental PLLC CurrentSince Jun 18, 2023 Accepting new patients
University of Alabama at Birmingham PastSince May 14, 2023 Accepting new patients
Richard H Real. Jr., D.M.D., P.a. PastSince Jun 18, 2023 Accepting new patients

Locations

2161 Clearbrook Rd
Hoover, AL 35226
Phone (205) 823-2577

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1174213821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 CLEARBROOK RD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352261520",
            "telephone_number": "205-823-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 7TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352332005",
            "telephone_number": "205-934-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINGAN",
        "first_name": "WILLIAM",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "007180-C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.