Individual provider Active NPI

Joshua Ashmore McClanahan, DMD

  • General Practice Dentistry
  • Tuscaloosa, AL
National Provider Identifier
1477916435
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6316 C1 Issued in AL
Practice address
1490 N Bank Pkwy Ste 130
Tuscaloosa, AL 35406-2431
Phone
(205) 349-4716
NPI assigned
Mar 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6316 C1 AL Primary

Addresses

Primary practice location

1490 N Bank Pkwy Ste 130
Tuscaloosa, AL 35406-2431

Mailing address

603 Whispering Pines LN
Helena, AL 35080-7528
Phone (256) 710-5271

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161010001495 AL Order and Referring Only - DentistPractitioner - Dentist 1658669585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6316 C1ALMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
JVM Dental Dba Northbank Family Dental General Practice CurrentSince Jun 6, 2021 Accepting new patients
James T. Gardiner Family Dentistry, P.C. Past Accepting new patients
SRD Tuscumbia PLLC General Practice PastSince Jun 26, 2022 Accepting new patients

Locations

1490 N Bank Pkwy
Ste 130
Tuscaloosa, AL 35406
Phone (205) 349-4716

Organizations & group practices 3

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": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1477916435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 WHISPERING PINES LN",
            "city": "HELENA",
            "state": "AL",
            "postal_code": "350807528",
            "telephone_number": "256-710-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 N BANK PKWY STE 130",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062431",
            "telephone_number": "205-349-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLANAHAN",
        "first_name": "JOSHUA",
        "middle_name": "ASHMORE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-29",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "6316 C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.