Active NPI
Elaine Frances Sides, DMD
- Dentist
- Birmingham, AL
National Provider Identifier
1487914198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5843
- Practice address
- 5720 First Avenue South
Birmingham
Birmingham, AL 35212 - Phone
- (205) 380-9455
- Fax
- (205) 380-9459
- NPI assigned
- May 29, 2012
- Last updated
- May 29, 2012
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 5843 | AL | Primary |
Addresses
Primary practice location
5720 First Avenue South
Birmingham
Birmingham, AL 35212
Mailing address
2554 Rocky Ridge Road
Birmingham
Birmingham, AL 35243
Phone (205) 222-0969
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5843 | AL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338249600000",
"number": "1487914198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2554 ROCKY RIDGE ROAD",
"address_2": "BIRMINGHAM",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35243",
"telephone_number": "205-222-0969",
"fax_number": "205-822-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5720 FIRST AVENUE SOUTH",
"address_2": "BIRMINGHAM",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35212",
"telephone_number": "205-380-9455",
"fax_number": "205-380-9459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDES",
"first_name": "ELAINE",
"middle_name": "FRANCES",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-29",
"last_updated": "2012-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "5843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.