Active NPI
David Gabriel Cordaro, DMD
- General Practice Dentistry
- Moody, AL
National Provider Identifier
1235754904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6760
- Practice address
- 2323 Moody Pkwy
Moody, AL 35004-3012 - Phone
- (205) 640-1717
- Fax
- (205) 640-4902
- NPI assigned
- Jun 9, 2020
- Last updated
- Jun 9, 2020
- Sex
- Male
- 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 | 6760 | AL | Primary |
Addresses
Primary practice location
2323 Moody Pkwy
Moody, AL 35004-3012
Mailing address
1124 20TH St S Apt 404
Birmingham, AL 35205-2615
Phone (706) 836-3202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6760 | Other | AL | STATE OF ALABAMA DENTAL LICENSE NUMBER |
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 |
|---|---|---|---|
| 6760 | AL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591660800000",
"number": "1235754904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1124 20TH ST S APT 404",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352052615",
"telephone_number": "706-836-3202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 MOODY PKWY",
"city": "MOODY",
"state": "AL",
"postal_code": "350043012",
"telephone_number": "205-640-1717",
"fax_number": "205-640-4902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDARO",
"first_name": "DAVID",
"middle_name": "GABRIEL",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-09",
"last_updated": "2020-06-09",
"certification_date": "2020-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "6760",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF ALABAMA DENTAL LICENSE NUMBER",
"identifier": "6760",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Moody, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.