Individual provider Active NPI

Roleen Theola Bright, DDS

  • General Practice Dentistry
  • Hoover, AL
National Provider Identifier
1275655383
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5260 Issued in AL
Practice address
514 Crowne Reserve Dr
Hoover, AL 35244-7040
Phone
(205) 215-6145
Fax
(973) 215-6144
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5260 AL Primary

Addresses

Primary practice location

514 Crowne Reserve Dr
Hoover, AL 35244-7040

Mailing address

514 Crowne Reserve Drive
Hoover, AL 35244
Phone (205) 215-6145

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150930001237 AL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1153639893

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275655383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 CROWNE RESERVE DRIVE",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "35244",
            "telephone_number": "205-215-6145",
            "fax_number": "973-215-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 CROWNE RESERVE DR",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352447040",
            "telephone_number": "205-215-6145",
            "fax_number": "973-215-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGHT",
        "first_name": "ROLEEN",
        "middle_name": "THEOLA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.