Individual provider Active NPI

Kevin J Alexander, D.M.D.

  • General Practice Dentistry
  • Birmingham, AL
National Provider Identifier
1295814069
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4277 Issued in AL
Practice address
48 Church St
Birmingham, AL 35213-3702
Phone
(205) 871-7361
Fax
(205) 871-7368
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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 4277 AL Primary

Addresses

Primary practice location

48 Church St
Birmingham, AL 35213-3702

Mailing address

48 Church St
Birmingham, AL 35213-3702
Phone (205) 871-7361

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
I20181121002884 AL Order and Referring Only - DentistPractitioner - Dentist 9032463427

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4277ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Offices of R Gordon Henry DDS PC PastSince Mar 11, 2025 Accepting new patients
Kevin J Alexander DMD PC PastSince Jan 2, 1993 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1295814069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 CHURCH ST",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352133702",
            "telephone_number": "205-871-7361",
            "fax_number": "205-871-7368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 CHURCH ST",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352133702",
            "telephone_number": "205-871-7361",
            "fax_number": "205-871-7368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "KEVIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.