Individual provider Active NPI

Alexander Braden Plagenhoef, DDS

  • General Practice Dentistry
  • Trussville, AL
National Provider Identifier
1215548896
Registry record updated Aug 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D.0006798-C1 Issued in AL
Practice address
116 Watterson Pkwy
Trussville, AL 35173-2306
Phone
(205) 655-7774
NPI assigned
Aug 16, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2020

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 D.0006798-C1 AL Primary

Addresses

Primary practice location

116 Watterson Pkwy
Trussville, AL 35173-2306

Mailing address

701 Linden St
Trussville, AL 35173-3228
Phone (334) 790-5152

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
D.0006798-C1ALMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Millington & Plagenhoef Dentistry LLC CurrentSince May 7, 2023 Accepting new patients
J.R. Millington Dentistry General Practice CurrentSince Nov 8, 2020 Accepting new patients

Locations

116 Watterson Pkwy
Trussville, AL 35173
Phone (205) 655-7774

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1597536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597536000000",
    "number": "1215548896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 LINDEN ST",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351733228",
            "telephone_number": "334-790-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 WATTERSON PKWY",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351732306",
            "telephone_number": "205-655-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAGENHOEF",
        "first_name": "ALEXANDER",
        "middle_name": "BRADEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-16",
        "last_updated": "2020-08-16",
        "certification_date": "2020-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "D.0006798-C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trussville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2020; 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.