Individual provider Active NPI

Nadarajan Annamalai, DMD

  • Dentist
  • Mobile, AL
National Provider Identifier
1366546533
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4347 Issued in AL
Practice address
1924D Dauphin Island Pkwy
Mobile, AL 36605-3004
Phone
(251) 478-1181
Fax
(251) 478-1125
NPI assigned
Sep 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4347 AL Primary

Addresses

Primary practice location

1924D Dauphin Island Pkwy
Mobile, AL 36605-3004

Mailing address

1924D Dauphin Island Pkwy
Mobile, AL 36605-3004
Phone (251) 478-1181

Other names 1

  • Dr. Annamalai Nadarajan Other name

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

LicenseStateTypeSpecialty
4347ALMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert L. Mendel Past Accepting new patients

Organizations & group practices 1

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": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1366546533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924D DAUPHIN ISLAND PKWY",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366053004",
            "telephone_number": "251-478-1181",
            "fax_number": "251-478-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924D DAUPHIN ISLAND PKWY",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366053004",
            "telephone_number": "251-478-1181",
            "fax_number": "251-478-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNAMALAI",
        "first_name": "NADARAJAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "4347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNAMALAI",
            "last_name": "NADARAJAN",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.