Individual provider Active NPI

Elisabeth Cantrell Sewell, DMD

  • Dentist
  • Springville, AL
National Provider Identifier
1255081485
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D-0006927-C1 Issued in AL
Practice address
420 Walker Dr
Springville, AL 35146-3250
Phone
(205) 467-6147
NPI assigned
Mar 29, 2022
Last updated
Oct 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D-0006927-C1 AL Primary

Addresses

Primary practice location

420 Walker Dr
Springville, AL 35146-3250

Mailing address

420 Walker Dr
Springville, AL 35146-3250
Phone (205) 467-6147

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-0006927-C1ALMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Doc Holliday, DMD, Inc. CurrentSince Oct 21, 2025 Accepting new patients
Joseph Ronderos DMD PC General Practice PastSince Oct 21, 2025 Accepting new patients

Locations

420 Walker Dr
Springville, AL 35146
Phone (205) 467-2324

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1255081485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 WALKER DR",
            "city": "SPRINGVILLE",
            "state": "AL",
            "postal_code": "351463250",
            "telephone_number": "205-467-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 WALKER DR",
            "city": "SPRINGVILLE",
            "state": "AL",
            "postal_code": "351463250",
            "telephone_number": "205-467-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEWELL",
        "first_name": "ELISABETH",
        "middle_name": "CANTRELL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "D-0006927-C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.