Khaled Almansoob, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D-006890-C1 Issued in AL

Practice address

2500 Center Point Pkwy
Birmingham, AL 35215-2552

Phone

(205) 854-7448

NPI assigned

Jun 8, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Al Dental Group L.L.C.

  • Dental Clinic/Center
  • Birmingham, AL
  • NPI 1265009203
  NPD Authorized official

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1508433673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 CENTER POINT PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352152552",
            "telephone_number": "205-854-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 CENTER POINT PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352152552",
            "telephone_number": "205-854-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALMANSOOB",
        "first_name": "KHALED",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "D-006890-C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Allmendinger, CRNP
• Amy Jo Allon, LICSW
• Michael Allon
• Pamela Allums, CRNA
• Allworld Counseling & Consulting, LLC
• Adam Almanza
• Claire Almaraz
• Ammar Almehmi
• Ryan Matthew Almeida, MD
• Toni Almeida, CRNP

• All providers in Birmingham, AL
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.