Active NPI
Lauren Brooke Cabaniss, DMD
- General Practice Dentistry
- Columbiana, AL
National Provider Identifier
1336765650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D.0006774-C1
- Practice address
- 22727 Al-25
Columbiana, AL 35051 - Phone
- (205) 669-9900
- NPI assigned
- Jun 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D.0006774-C1 | AL | Primary |
Addresses
Primary practice location
22727 Al-25
Columbiana, AL 35051
Mailing address
117 Spring PL
Alabaster, AL 35007-9168
Phone (256) 415-0158
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D.0006774-C1 | AL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592870400000",
"number": "1336765650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 SPRING PL",
"city": "ALABASTER",
"state": "AL",
"postal_code": "350079168",
"telephone_number": "256-415-0158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22727 AL-25",
"city": "COLUMBIANA",
"state": "AL",
"postal_code": "35051",
"telephone_number": "205-669-9900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABANISS",
"first_name": "LAUREN",
"middle_name": "BROOKE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-23",
"last_updated": "2020-06-23",
"certification_date": "2020-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "D.0006774-C1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbiana, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.