Individual provider Active NPI

John H Payne, D.M.D.

  • Pediatric Dentistry
  • Montgomery, AL
National Provider Identifier
1598838153
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
4869 Issued in AL
Practice address
2600 Bell Rd
Montgomery, AL 36117-4375
Phone
(334) 277-6690
Fax
(334) 277-6690
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 4869 AL Primary

Addresses

Primary practice location

2600 Bell Rd
Montgomery, AL 36117-4375

Mailing address

1701 St Elizabeth SQ
Montgomery, AL 36117-4390
Phone (334) 277-6690

Other identifiers 3

IdentifierTypeStateIssuer
515-23254OtherALBLUE CROSS BLUE SHIELD
510-60720OtherALBLUE CROSS BLUE SHILED
770948OtherALUNITED 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

LicenseStateTypeSpecialty
4869ALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Smiles From US, PLLC Pediatric Dentistry Past Accepting new patients
Tooth Buds at Lagoon Park, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: john.payne@direct.baptistfirst.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1598838153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 ST ELIZABETH SQ",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361174390",
            "telephone_number": "334-277-6690",
            "fax_number": "334-277-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 BELL RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361174375",
            "telephone_number": "334-277-6690",
            "fax_number": "334-277-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "JOHN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "4869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "515-23254",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHILED",
            "identifier": "510-60720",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "770948",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.