Abtin Iranmanesh, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D.0006698-C1 Issued in AL

Practice address

7564 Highway 72 W Ste C
Madison, AL 35758-9437

Phone

(256) 690-5099

NPI assigned

Jul 25, 2019

Last updated

Jul 25, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Stock Dental PLLC

  • General Practice Dentistry
  • Madison, AL
  • NPI 1811672645
  NPD

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1205480423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 SANOMA DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357581394",
            "telephone_number": "615-473-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7564 HIGHWAY 72 W STE C",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589437",
            "telephone_number": "256-690-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRANMANESH",
        "first_name": "ABTIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "D.0006698-C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrity Family Care North Alabama LLC
• Integrity Family Care North Alabama LLC (none)
• Intelligent Systems
• Iop Behavioral Health, LLC
• Iop Behavioral Health, LLC
• Jeremiah Irby
• Franca Atuaje Isename, NP
• Jordan Keeley Ivey, MD
• J W Burns LLC (A Plus Medical Equipment & Supplies)
• Jackson Counseling Solutions, LLC

• General Practice Dentistry in Madison, AL
• Providers in Madison, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.