Active NPI
Kimberly Rosser Carr, D.M.D.
- Pediatric Dentistry
- Birmingham, AL
National Provider Identifier
1730297276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 4666
- Practice address
- 1801 14TH Ave S
Birmingham, AL 35205-4931 - Phone
- (205) 939-4912
- Fax
- (205) 939-4915
- NPI assigned
- Aug 25, 2006
- Last updated
- Sep 28, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 4666 | AL | Primary |
Addresses
Primary practice location
1801 14TH Ave S
Birmingham, AL 35205-4931
Mailing address
PO Box 59202
Birmingham, AL 35259-9202
Phone (205) 939-4912
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009800160 | Medicaid | AL |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4666 | AL | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317168000000",
"number": "1730297276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 59202",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352599202",
"telephone_number": "205-939-4912",
"fax_number": "205-939-4915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 14TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352054931",
"telephone_number": "205-939-4912",
"fax_number": "205-939-4915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "KIMBERLY",
"middle_name": "ROSSER",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2011-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "AL",
"license": "4666",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009800160",
"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 Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.