Active NPI
Narissa C Ross, DMD
- General Practice Dentistry
- Decatur, AL
National Provider Identifier
1194256685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0006569-C1
- Practice address
- 1821 Beltline Rd SW
Decatur, AL 35601 - Phone
- (256) 801-0039
- NPI assigned
- Mar 25, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 0006569-C1 | AL | Primary |
Addresses
Primary practice location
1821 Beltline Rd SW
Decatur, AL 35601
Mailing address
116 Walking Trail Way
Madison, AL 35758-4818
Phone (334) 412-2014
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194256685 | Medicaid | NY |
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 |
|---|---|---|---|
| 0006569-C1 | AL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536019200000",
"number": "1194256685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 WALKING TRAIL WAY",
"city": "MADISON",
"state": "AL",
"postal_code": "357584818",
"telephone_number": "334-412-2014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 BELTLINE RD SW",
"city": "DECATUR",
"state": "AL",
"postal_code": "35601",
"telephone_number": "256-801-0039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "NARISSA",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-25",
"last_updated": "2018-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "0006569-C1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1194256685",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.