Individual provider Active NPI

Mary Jamie Mount, D.M.D.

  • General Practice Dentistry
  • Montgomery, AL
National Provider Identifier
1619024213
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5216 Issued in AL
Practice address
3439 McGehee Rd Ste B
Unit 22
Montgomery, AL 36111-3334
Phone
(205) 821-5633
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5216 AL Primary

Addresses

Primary practice location

3439 McGehee Rd Ste B
Unit 22
Montgomery, AL 36111-3334

Mailing address

3439 McGehee Rd Ste B
Unit 22
Montgomery, AL 36111-3334
Phone (205) 821-5633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161207002256 AL Order and Referring Only - Other (Non-Physician) 2567742695

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5216ALMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1619024213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3439 MCGEHEE RD STE B",
            "address_2": "UNIT 22",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361113334",
            "telephone_number": "205-821-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3439 MCGEHEE RD STE B",
            "address_2": "UNIT 22",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361113334",
            "telephone_number": "205-821-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUNT",
        "first_name": "MARY",
        "middle_name": "JAMIE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.