Active NPI
William Max McDonald, DMD
- Pediatric Dentistry
- Birmingham, AL
National Provider Identifier
1750394383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 2407
- Practice address
- 1715 11TH Ave S
Birmingham, AL 35205-4707 - Phone
- (205) 933-2820
- Fax
- (205) 933-8280
- NPI assigned
- Aug 14, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 2407 | AL | Primary |
Addresses
Primary practice location
1715 11TH Ave S
Birmingham, AL 35205-4707
Mailing address
1715 11TH Ave S
Birmingham, AL 35205-4707
Phone (205) 933-2820
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51094503 | Other | AL | BLUE CROSS |
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 |
|---|---|---|---|
| 2407 | AL | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750394383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1715 11TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352054707",
"telephone_number": "205-933-2820",
"fax_number": "205-933-8280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 11TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352054707",
"telephone_number": "205-933-2820",
"fax_number": "205-933-8280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "WILLIAM",
"middle_name": "MAX",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "AL",
"license": "2407",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "51094503",
"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 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.