NPIMap

Organization Active NPI

Birmingham Endodontics LLC

  • Endodontics
  • Birmingham, AL
National Provider Identifier
1255439964
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
BIRMINGHAM ENDODONTICS LLC
Practice address
202 Inverness Center Dr
Suite 202
Birmingham, AL 35242-7635
Phone
(205) 981-3301
Fax
(205) 981-3307
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Krissie Baker Aycock
Title
Business Manager
Phone
(205) 981-3301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

202 Inverness Center Dr
Suite 202
Birmingham, AL 35242-7635

Mailing address

202 Inverness Center Drive
Suite 202
Birmingham, AL 35242-7635
Phone (205) 981-3301

Other identifiers 5

IdentifierTypeStateIssuer
51035548OtherALBCBS AL PROVIDER
51509043OtherALBCBS AL PROVIDER
272124OtherALUCCI PROVIDER
4289OtherALCISSELL STATE LICENSE
5041OtherALCAPRARA STATE LICENSE

National Provider Directory

National Provider Directory

Locations

202 Inverness Center Dr
Ste 202
Hoover, AL 35242
Phone (205) 981-3301

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255439964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 INVERNESS CENTER DRIVE",
            "address_2": "SUITE 202",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352427635",
            "telephone_number": "205-981-3301",
            "fax_number": "205-981-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 INVERNESS CENTER DR",
            "address_2": "SUITE 202",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352427635",
            "telephone_number": "205-981-3301",
            "fax_number": "205-981-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRMINGHAM ENDODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AYCOCK",
        "authorized_official_first_name": "KRISSIE",
        "authorized_official_middle_name": "BAKER",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "205-981-3301",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL PROVIDER",
            "identifier": "51035548",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL PROVIDER",
            "identifier": "51509043",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI PROVIDER",
            "identifier": "272124",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CISSELL STATE LICENSE",
            "identifier": "4289",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPRARA STATE LICENSE",
            "identifier": "5041",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.