Leonorda M Dysart, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5045 Issued in AL

Practice address

2152 46TH Place Ensley
Birmingham, AL 35208-4602

Phone

(205) 788-8889

NPI assigned

Jan 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Dr. Lonette S Phipps, LLC

  • Dental Clinic/Center
  • Birmingham, AL
  • NPI 1710163258
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255483442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 N GRANDE VIEW LN",
            "city": "MAYLENE",
            "state": "AL",
            "postal_code": "351146011",
            "telephone_number": "205-788-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2152 46TH PLACE ENSLEY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352084602",
            "telephone_number": "205-788-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYSART",
        "first_name": "LEONORDA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Adrian Dyer-Smith, M.C.D.
• Caroline Dyess, PA-C
• Anny Guthrie Dykes, PAC
• Georgiana W. Dykes, CRNA
• Sally Dykes
• Jasmine D Eades Whatley, CRNP
• Kodi Eads, RN
• John T Eagan Jr., MD
• Ali Marie Eakes, MD
• Ear, Nose, and Throat Clinic, P.a.

• General Practice Dentistry in Birmingham, AL
• Providers in Birmingham, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.