Active NPI
Derek Doss
- Dentist
- Hoover, AL
National Provider Identifier
1801116454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5765
- Practice address
- 2394 Abbeyglen Cir
Hoover, AL 35226-6220 - Phone
- (205) 238-1345
- NPI assigned
- Jun 6, 2010
- Last updated
- Jun 6, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 5765 | AL | Primary |
Addresses
Primary practice location
2394 Abbeyglen Cir
Hoover, AL 35226-6220
Mailing address
2394 Abbeyglen Cir
Hoover, AL 35226-6220
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160218000698 | AL | Order and Referring Only - Other (Non-Physician) | 6002111754 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275782400000",
"number": "1801116454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2394 ABBEYGLEN CIR",
"city": "HOOVER",
"state": "AL",
"postal_code": "352266220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2394 ABBEYGLEN CIR",
"city": "HOOVER",
"state": "AL",
"postal_code": "352266220",
"telephone_number": "205-238-1345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOSS",
"first_name": "DEREK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-06",
"last_updated": "2010-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "5765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoover, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.