Individual provider Active NPI

Ella Cvirko, DMD

  • Dentist
  • Spanish Fort, AL
National Provider Identifier
1205028032
Registry record updated Aug 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5743 Issued in AL
Practice address
33941 Farrington LN
Spanish Fort, AL 36527-7012
Phone
(251) 272-2666
NPI assigned
Aug 15, 2007
Last updated
Aug 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5743 AL Primary

Addresses

Primary practice location

33941 Farrington LN
Spanish Fort, AL 36527-7012

Mailing address

33941 Farrington LN
Spanish Fort, AL 36527-7012
Phone (251) 272-2666

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
5743ALMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439683200000",
    "number": "1205028032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33941 FARRINGTON LN",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365277012",
            "telephone_number": "251-272-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33941 FARRINGTON LN",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365277012",
            "telephone_number": "251-272-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CVIRKO",
        "first_name": "ELLA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-15",
        "last_updated": "2015-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "5743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanish Fort, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2015; 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.