Active NPI
Alicia Jamelle Mickles, D.D.S.
- Dentist
- Huntsville, AL
National Provider Identifier
1760897714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D.007173-C
- Practice address
- 6140 University Dr NW
Huntsville, AL 35806-1772 - Phone
- (256) 285-3420
- NPI assigned
- Jun 29, 2014
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30.025418 | OH | |
| Dentist | 122300000X | D.007173-C | AL | Primary |
| Dentist | 122300000X | 11769 | CT | |
| Dentist | 122300000X | 10030 | TN | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
6140 University Dr NW
Huntsville, AL 35806-1772
Mailing address
6140 University Dr NW
Huntsville, AL 35806-1772
Phone (256) 285-3420
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 |
|---|---|---|---|
| D.007173-C | AL | MD | Dentist |
| 30.025418 | OH | MD | Dentist |
| 10030 | TN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John a Hudec Cleveland Dental Health Center Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Cleveland, OH
- NPI 1891727558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757289600000",
"number": "1760897714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6140 UNIVERSITY DR NW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358061772",
"telephone_number": "256-285-3420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6140 UNIVERSITY DR NW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358061772",
"telephone_number": "256-285-3420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICKLES",
"first_name": "ALICIA",
"middle_name": "JAMELLE",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-29",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30.025418",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "D.007173-C",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "11769",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "10030",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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- Michelle R. Grana, DO; PC
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- Mid-South Home Care Services, Inc.
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- Amaya Ashanti Middlebrooks
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.