Prabhavathi Jampani Prattipati, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

5895 Issued in AL

Practice address

311 8TH Ave SW
Childersburg, AL 35044-1625

Phone

(256) 378-5442

NPI assigned

Feb 8, 2012

Sex

Female

Sole proprietor

No

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)

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.

• JLN Dental LLC

  dba Prime Smile Dental Care

  • General Practice Dentistry
  • Birmingham, AL
  • NPI 1578339784
  NPD
• Troy H. Dennis D.M.D. PC

  • Dental Clinic/Center
  • Childersburg, AL
  • NPI 1356675342
  NPD (past)

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1528330461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 8TH AVE SW",
            "city": "CHILDERSBURG",
            "state": "AL",
            "postal_code": "350441625",
            "telephone_number": "256-378-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 8TH AVE SW",
            "city": "CHILDERSBURG",
            "state": "AL",
            "postal_code": "350441625",
            "telephone_number": "256-378-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMPANI PRATTIPATI",
        "first_name": "PRABHAVATHI",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-08",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "5895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerica Lashay Gibson, DO
• Hands of Love (Hands of Love LLC)
• Hands of Love
• Nancy Coleana Hill, FNP-BC
• William Hughes, PHARM.D.
• Arnold Larry Kirkland Jr., R PH
• Abena Agyeiwaa Lamptey, DMD
• Lourdes Professional Services, LLC (Lourdes Health Solutions)
• Management and Medical Services, LLC (Childersburg Primary Care)
• Lori Maness

• Dentist in Childersburg, AL
• Providers in Childersburg, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; 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.