Alexa Ruttenberg Martin, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D.007256 Issued in AL

Practice address

5500 1St Ave S
Birmingham, AL 35212-2518

Phone

(205) 592-2255

NPI assigned

May 9, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Alexa Ruttenberg Other name

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 Pedodontics, LLC

  • Pediatric Dentistry
  • Birmingham, AL
  • NPI 1841008729
  NPD Authorized official
• Smiles for Keeps, LLC

  • General Practice Dentistry
  • Birmingham, AL
  • NPI 1760360929

  Pediatric Dentistry

  NPD Authorized official

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1548906969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 KRISTI CIR",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352435832",
            "telephone_number": "205-914-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 1ST AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352122518",
            "telephone_number": "205-592-2255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1919 7th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352332005",
            "country_code": "US",
            "telephone_number": "205-934-7016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1015 Brocks Gap Pkwy",
            "address_purpose": "LOCATION",
            "city": "Hoover",
            "state": "AL",
            "postal_code": "352444032",
            "country_code": "US",
            "telephone_number": "205-982-0112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 7th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331710",
            "country_code": "US",
            "telephone_number": "205-638-9165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "930 20th St S Unit 125",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352052610",
            "country_code": "US",
            "telephone_number": "205-934-1115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ALEXA",
        "middle_name": "RUTTENBERG",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "D.007256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXA",
            "last_name": "RUTTENBERG",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tyler James Marshall, M.D.
• Yolanda Marshall, DPM
• Wendy Marshtootle, O.D.
• Daniel C Marson, PHD
• Candace Hunter Marten, PSYD
• Angela R. Martin, ALC
• Ashley Nicole Martin, BCBA
• Aubrey Martin
• Barry W Martin, MD
• Bess Wells Martin, PT

• Pediatric Dentistry in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Pediatric Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.