Active NPI
Kenneth Warren Springer, D.M.D.
- General Practice Dentistry
- Sheffield, AL
National Provider Identifier
1639266604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4261
- Practice address
- 518 N Nashville Ave
Sheffield, AL 35660-2940 - Phone
- (256) 383-4171
- NPI assigned
- Oct 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4261 | AL | Primary |
Addresses
Primary practice location
518 N Nashville Ave
Sheffield, AL 35660-2940
Mailing address
518 N Nashville Ave
Sheffield, AL 35660-2940
Phone (256) 383-4171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160121002223 | AL | Order and Referring Only - Other (Non-Physician) | 5799088993 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639266604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 N NASHVILLE AVE",
"city": "SHEFFIELD",
"state": "AL",
"postal_code": "356602940",
"telephone_number": "256-383-4171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 N NASHVILLE AVE",
"city": "SHEFFIELD",
"state": "AL",
"postal_code": "356602940",
"telephone_number": "256-383-4171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRINGER",
"first_name": "KENNETH",
"middle_name": "WARREN",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "4261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheffield, AL
- Mark Walker Smith, M.D.
- SNH Bama Tenant LLC
- Steven B Snyder, MD
- Southern Legacy Home Care
- Joseph Daniel Southern, FNP-C
- State of Alabama Department of Public Health
- State of Alabama Department of Public Health
- State of Alabama Department of Public Health
- State of Alabama Department of Public Health
- Stephen Keith MD
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.