Individual provider Active NPI

Ann Marie Ardovino, DMD

  • Dentist
  • Alabaster, AL
National Provider Identifier
1447418389
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5630 Issued in AL
Practice address
100 Colonial Promenade Pkwy
Suite 400
Alabaster, AL 35007-3205
Phone
(205) 664-7610
NPI assigned
May 28, 2008
Last updated
Feb 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5630 AL Primary
Public Health Dentistry 1223D0001X 5630 AL

Addresses

Primary practice location

100 Colonial Promenade Pkwy
Suite 400
Alabaster, AL 35007-3205

Mailing address

100 Colonial Promenade Pkwy
Suite 400
Alabaster, AL 35007-3205
Phone (205) 664-7610

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250714002116 AL Practitioner - DentistPractitioner - Sleep Medicine 7618271982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DentistAlso: Sleep Medicine
Education
University of Alabama School of Dentistry, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Concourse Pkwy
Suite 125
Hoover, AL 35244-2878
Phone (205) 664-7610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Dental Sleep and Wellness LLC CurrentSince Oct 1, 2010 Accepting new patients

Locations

100 Colonial Promenade Pkwy
Ste 400
Alabaster, AL 35007
Phone (205) 664-7610

100 Concourse Pkwy
Ste 125
Hoover, AL 35244
Phone (205) 664-7610

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1447418389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COLONIAL PROMENADE PKWY",
            "address_2": "SUITE 400",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350073205",
            "telephone_number": "205-664-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COLONIAL PROMENADE PKWY",
            "address_2": "SUITE 400",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350073205",
            "telephone_number": "205-664-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARDOVINO",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-28",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "5630",
            "primary": true
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "AL",
            "license": "5630",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alabaster, AL

Sources for this page

Verify at the official NPI Registry.