Individual provider Active NPI

Douglas Austin Denson, D.M.D., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Birmingham, AL
National Provider Identifier
1659637908
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
5938 Issued in AL
Practice address
619 19TH St S
Birmingham, AL 35249-1900
Phone
(205) 934-5334
NPI assigned
Apr 11, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5938 AL
Student in an Organized Health Care Education/Training Program 390200000X
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 5938 AL Primary

Addresses

Primary practice location

619 19TH St S
Birmingham, AL 35249-1900

Mailing address

619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-5334

Other practice location 1

230 E 10th St Ste 106
Anniston, AL 36207-5771
Phone (256) 741-7340

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: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180706002461 AL Practitioner - Oral Surgery 0547410375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
University of Alabama School of Dentistry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS. Koslin and Kahn, P.C.Group PAC ID 6305869371, 4 clinicians

Practice addresses (Care Compare)

1208 Hwy 78 E
Jasper, AL 35501-3963
Phone (205) 979-9738

Hospital & facility affiliations

  • Baptist Health Brookwood Hospital Hospital, Birmingham, AL, CCN 010139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5938ALMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Koslin & Kahn, P.C. Oral and Maxillofacial Surgery CurrentSince Jul 1, 2018 Accepting new patients
DRS. Koslin & Kahn, P.C. Oral and Maxillofacial Surgery PastSince Feb 19, 2023 Accepting new patients

Locations

2036 Patton Chapel Rd
Hoover, AL 35216
Phone (205) 979-9738

1206 Highway 78 E
Jasper, AL 35501
Phone (205) 221-9190

1208 Highway 78 E
Jasper, AL 35501
Phone (205) 221-2733

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1659637908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352491900",
            "telephone_number": "205-934-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352491900",
            "telephone_number": "205-934-5334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 E 10th St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Anniston",
            "state": "AL",
            "postal_code": "362075771",
            "country_code": "US",
            "telephone_number": "256-741-7340",
            "fax_number": "256-741-7373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENSON",
        "first_name": "DOUGLAS",
        "middle_name": "AUSTIN",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-11",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "5938",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AL",
            "license": "5938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.