Individual provider Active NPI

Linda Burks Agee, DMD

  • Dentist
  • Tuskegee, AL
National Provider Identifier
1275674012
Registry record updated Aug 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3830 Issued in AL
Practice address
1201 Notasulga Road
Tuskegee, AL 36083-7115
Phone
(334) 727-7211
NPI assigned
Feb 12, 2007
Last updated
Aug 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3830 AL Primary

Addresses

Primary practice location

1201 Notasulga Road
Tuskegee, AL 36083-7115

Mailing address

1201 Notasulga Road
Tuskegee, AL 36083-7115
Phone (334) 727-7211

Other identifiers 2

IdentifierTypeStateIssuer
511-36354OtherALBLUE CROSS
149318MedicaidAL

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
I20150930002238 AL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0749598399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: lagee333041@direct.ochin.org

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470441600000",
    "number": "1275674012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 NOTASULGA ROAD",
            "city": "TUSKEGEE",
            "state": "AL",
            "postal_code": "360837115",
            "telephone_number": "334-727-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NOTASULGA ROAD",
            "city": "TUSKEGEE",
            "state": "AL",
            "postal_code": "360837115",
            "telephone_number": "334-727-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGEE",
        "first_name": "LINDA",
        "middle_name": "BURKS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2016-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "3830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "511-36354",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149318",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuskegee, AL

Sources for this page

Verify at the official NPI Registry.