Individual provider Active NPI

Nzingha Harris Stovall, DMD

  • General Practice Dentistry
  • Montgomery, AL
National Provider Identifier
1780890467
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5478 Issued in AL
Practice address
2030 Berry Chase PL
Montgomery, AL 36117-6896
Phone
(334) 271-2001
Fax
(334) 271-2330
NPI assigned
May 16, 2007
Last updated
May 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5478 AL Primary

Addresses

Primary practice location

2030 Berry Chase PL
Montgomery, AL 36117-6896

Mailing address

2030 Berry Chase PL
Montgomery, AL 36117-6896
Phone (334) 271-2001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160301001563 AL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1153626072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1780890467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 BERRY CHASE PL",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361176896",
            "telephone_number": "334-271-2001",
            "fax_number": "334-271-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 BERRY CHASE PL",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361176896",
            "telephone_number": "334-271-2001",
            "fax_number": "334-271-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOVALL",
        "first_name": "NZINGHA",
        "middle_name": "HARRIS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.