NPIMap

Individual provider Active NPI

Robert Blacksher Connor, DMD

  • Dentist
  • Birmingham, AL
National Provider Identifier
1265655906
Registry record updated Dec 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2986 Issued in AL
Practice address
1771 Independence CT
Suite 1
Birmingham, AL 35216
Phone
(205) 870-9871
Fax
(205) 870-9875
NPI assigned
Apr 11, 2007
Last updated
Dec 7, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2986 AL Primary

Addresses

Primary practice location

1771 Independence CT
Suite 1
Birmingham, AL 35216

Mailing address

1771 Independence CT
Suite 1
Birmingham, AL 35216
Phone (205) 870-9871

Other practice location 1

1771 Independence Court
Suite 1
Birmingham, AL 35216
Phone (205) 870-9871

Other names 1

  • Dr. Robert Blacksher Connor Professional name

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
2986ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert B. Connor DMD, PC Dentist Past Accepting new patients
Highfive Professional Services P.C. PastSince Feb 2, 2020 Accepting new patients

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512604800000",
    "number": "1265655906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 INDEPENDENCE CT",
            "address_2": "SUITE 1",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35216",
            "telephone_number": "205-870-9871",
            "fax_number": "205-870-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 INDEPENDENCE CT",
            "address_2": "SUITE 1",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35216",
            "telephone_number": "205-870-9871",
            "fax_number": "205-870-9875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1771 Independence Court",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "35216",
            "country_code": "US",
            "telephone_number": "205-870-9871",
            "fax_number": "205-870-9875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "ROBERT",
        "middle_name": "BLACKSHER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "2986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "CONNOR",
            "middle_name": "BLACKSHER",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Dec 7, 2017; 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.