Active NPI
Andrew E Donaldson Sr., DMD
- Dentist
- Auburn, AL
National Provider Identifier
1508976390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- AL5120
- Practice address
- 1216 Commerce Drive
Auburn, AL 36830 - Phone
- (334) 887-2615
- Fax
- (334) 887-2619
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- 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 | AL5120 | AL | Primary |
Addresses
Primary practice location
1216 Commerce Drive
Auburn, AL 36830
Mailing address
1216 Commerce Drive
Auburn, AL 36830
Phone (334) 887-2615
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51518427 | Other | AL | BLUE CROSS BLUE SHIELD |
| 1359704 | Other | UNITED CONCORDIA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL5120 | AL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508976390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1216 COMMERCE DRIVE",
"city": "AUBURN",
"state": "AL",
"postal_code": "36830",
"telephone_number": "334-887-2615",
"fax_number": "334-887-2619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1216 COMMERCE DRIVE",
"city": "AUBURN",
"state": "AL",
"postal_code": "36830",
"telephone_number": "334-887-2615",
"fax_number": "334-887-2619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONALDSON",
"first_name": "ANDREW",
"middle_name": "E",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "AL5120",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51518427",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1359704",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Auburn, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.