Active NPI
Andrew F Dannemann, MD
- Ophthalmology Physician
- Dothan, AL
National Provider Identifier
1396776944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 00016679
- Practice address
- 1909 Honeysuckle Rd
Suite 2
Dothan, AL 36305-4289 - Phone
- (334) 699-7100
- Fax
- (334) 699-7410
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 00016679 | AL | Primary |
Addresses
Primary practice location
1909 Honeysuckle Rd
Suite 2
Dothan, AL 36305-4289
Mailing address
1909 Honeysuckle Rd
Suite 2
Dothan, AL 36305-4289
Phone (334) 699-7100
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16679 | AL | MD | Pharmacist |
| 00016679 | AL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Partners PC | 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.
-
- Durable Medical Equipment & Medical Supplies
- Bainbridge, GA
- NPI 1629719299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349654400000",
"number": "1396776944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1909 HONEYSUCKLE RD",
"address_2": "SUITE 2",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363054289",
"telephone_number": "334-699-7100",
"fax_number": "334-699-7410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1909 HONEYSUCKLE RD",
"address_2": "SUITE 2",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363054289",
"telephone_number": "334-699-7100",
"fax_number": "334-699-7410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANNEMANN",
"first_name": "ANDREW",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2012-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "AL",
"license": "00016679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.