Michelle Bajjalieh, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

5189 Issued in AL

Practice address

3500 Independence Dr
Ste 100
Homewood, AL 35209-2687

Phone

(205) 802-7277

Fax

(205) 802-7279

NPI assigned

Jul 10, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Alabama Pediatric Dentistry

  • Pediatric Dentistry
  • Birmingham, AL
  • NPI 1861673238
  NPD (past) Authorized official
• Double Oak Mountain Family Dentistry, LLC

  • General Practice Dentistry
  • Birmingham, AL
  • NPI 1568440469
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429228800000",
    "number": "1245264266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 INDEPENDENCE DR",
            "address_2": "STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095710",
            "telephone_number": "205-802-7277",
            "fax_number": "205-802-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 INDEPENDENCE DR",
            "address_2": "STE 100",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352092687",
            "telephone_number": "205-802-7277",
            "fax_number": "205-802-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJJALIEH",
        "first_name": "MICHELLE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2015-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "5189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245264266",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Austin C. Powell, D.M.D., LLC
• Authentic Life Counseling, LLC
• Megyn Avedisian, MS, ALC
• Axia Behavioral Group, LLC
• Sarah Smith Bagwell, MD
• Blake Hilton Baker, PHARMD
• Stanley J Bara III, D.C.
• Denise Renee Barefield Pendleton, MD
• Jennifer Bares, MD
• Dalila Bass, MSW, LICSW, PIP

• Pediatric Dentistry in Homewood, AL
• Providers in Homewood, AL by specialty
• Pediatric Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.