Active NPI
Elizabeth Thrasher Booth, DMD
- General Practice Dentistry
- Birmingham, AL
National Provider Identifier
1699804070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4078
- Practice address
- 1021 19TH St S
Birmingham, AL 35205-4803 - Phone
- (120) 532-4132
- NPI assigned
- Mar 3, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 4078 | AL | Primary |
Addresses
Primary practice location
1021 19TH St S
Birmingham, AL 35205-4803
Mailing address
729 Sanders Rd
Birmingham, AL 35226-1510
Phone (120) 582-3313
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4078 | AL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699804070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "729 SANDERS RD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352261510",
"telephone_number": "120-582-3313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 19TH ST S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352054803",
"telephone_number": "120-532-4132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOTH",
"first_name": "ELIZABETH",
"middle_name": "THRASHER",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "4078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.