Active NPI
Ear, Nose, and Throat Clinic, P.a.
- Specialist
- Birmingham, AL
National Provider Identifier
1700093986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD2799
- Legal business name
- EAR, NOSE, AND THROAT CLINIC, P.A.
- Practice address
- 652 Lomb Ave SW
Birmingham, AL 35211-1330 - Phone
- (205) 787-1457
- Fax
- (205) 788-0073
- NPI assigned
- May 17, 2007
- Last updated
- Jan 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jack M Dabbs, M.D.
- Title
- President
- Phone
- (205) 787-1457
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD2799 | AL | Primary |
Addresses
Primary practice location
652 Lomb Ave SW
Birmingham, AL 35211-1330
Mailing address
652 Lomb Ave SW
Birmingham, AL 35211-1330
Phone (205) 787-1457
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D948 | Other | AL | MEDICARE GROUP # |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Otolaryngology Physician
- Birmingham, AL
- NPI 1912974056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201046400000",
"number": "1700093986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "652 LOMB AVE SW",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352111330",
"telephone_number": "205-787-1457",
"fax_number": "205-788-0073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "652 LOMB AVE SW",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352111330",
"telephone_number": "205-787-1457",
"fax_number": "205-788-0073"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAR, NOSE, AND THROAT CLINIC, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-17",
"last_updated": "2008-01-23",
"status": "A",
"authorized_official_last_name": "DABBS",
"authorized_official_first_name": "JACK",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "205-787-1457",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "AL",
"license": "MD2799",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP #",
"identifier": "D948",
"state": "AL"
}
],
"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 Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.