Adra Gibson Washington, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

AL4637 Issued in AL

Practice address

3439 McGehee Rd Ste B
Unit 22
Montgomery, AL 36111-3334

Phone

(334) 288-1868

NPI assigned

Apr 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Eclectic, AL
  • NPI 1982626842
  NPD (past)
• Montgomery Smiles Youth Dentistry, PC

  • General Practice Dentistry
  • Montgomery, AL
  • NPI 1740351758
  NPD (past)

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1316167448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 ARCADE UNIT 198747",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372191994",
            "telephone_number": "615-753-0343",
            "fax_number": "615-986-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3439 MCGEHEE RD STE B",
            "address_2": "UNIT 22",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361113334",
            "telephone_number": "334-288-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "ADRA",
        "middle_name": "GIBSON",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-30",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "AL4637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009943086",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William P. Ware, Jr., DO
• Eddie Warren, M.D.
• Jimeca Warren, RRT
• Sandria Renee Warren, CRNP
• Shawnese Warren, ALC
• Alicia Washington
• Bridgett Machele Washington
• Charlina Washington, PT
• Daquila Washington
• Judy Washington

• General Practice Dentistry in Montgomery, AL
• Providers in Montgomery, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.