Organization Active NPI

Ronald Alyn Macbeth DMD, LLC

  • Dental Clinic/Center
  • Birmingham, AL
National Provider Identifier
1265946321
Registry record updated Nov 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D6453 Issued in AL
Legal business name
RONALD ALYN MACBETH DMD, LLC
Practice address
1045 Broadway Park, Suite 101
Birmingham, AL 35209-3520
Phone
(850) 380-6814
Fax
(850) 380-6814
NPI assigned
Nov 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2017

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

Authorized official

Name
Ronald Macbeth
Title
Dentist
Phone
(850) 380-6814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D6453 AL Primary

Addresses

Primary practice location

1045 Broadway Park, Suite 101
Birmingham, AL 35209-3520

Mailing address

219 Devon Dr
Birmingham, AL 35209-4317
Phone (850) 380-6814

Other identifiers 1

IdentifierTypeStateIssuer
1255746608MedicaidMN

National Provider Directory

National Provider Directory

Locations

1045 Broadway Park
Ste 101
Birmingham, AL 35209
Phone (850) 380-6814

NPI Registry JSON

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511827200000",
    "number": "1265946321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 DEVON DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094317",
            "telephone_number": "850-380-6814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 BROADWAY PARK, SUITE 101",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352093520",
            "telephone_number": "850-380-6814",
            "fax_number": "850-380-6814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD ALYN MACBETH DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-28",
        "last_updated": "2017-11-28",
        "status": "A",
        "authorized_official_last_name": "MACBETH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "850-380-6814"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "D6453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255746608",
            "state": "MN"
        }
    ],
    "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 Nov 28, 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.