Individual provider Active NPI

Rana W Ahmad, DMD

  • Dentist
  • Vestavia Hills, AL
National Provider Identifier
1245519545
Registry record updated Sep 12, 2011
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5874 Issued in AL
Practice address
2816 Columbiana Rd
Vestavia Hills, AL 35216-2518
Phone
(205) 903-3701
NPI assigned
Aug 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN014317 GA
Dentist 122300000X 5874 AL Primary

Addresses

Primary practice location

2816 Columbiana Rd
Vestavia Hills, AL 35216-2518

Mailing address

2705 Crossgate CV
Vestavia, AL 35216-3192

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160111002234 AL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9234431008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5874ALMDDentist
DN014317GAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1245519545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 CROSSGATE CV",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352163192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 COLUMBIANA RD",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352162518",
            "telephone_number": "205-903-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "RANA",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN014317",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "5874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia Hills, AL

Sources for this page

Verify at the official NPI Registry.