Active NPI
Albert Mitchel Higgins, D.D.S.
- Pediatric Dentistry
- Phoenix, AZ
National Provider Identifier
1831268192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- D4361
- Practice address
- 4025 W Bell Rd
Suite #18
Phoenix, AZ 85053-2750 - Phone
- (602) 843-1275
- Fax
- (602) 938-4910
- NPI assigned
- Nov 8, 2006
- 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 | D4361 | AZ | Primary |
Addresses
Primary practice location
4025 W Bell Rd
Suite #18
Phoenix, AZ 85053-2750
Mailing address
1300 W Gurley St Ste 1
Prescott, AZ 86305-2852
Phone (928) 445-8033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 136673 | Medicaid | AZ |
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 |
|---|---|---|---|
| D4361 | AZ | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albert M. Higgins, DDS, PLLC | Pediatric Dentistry | 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.
-
- Pediatric Dentistry
- Prescott, AZ
- NPI 1942387204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288569600000",
"number": "1831268192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 W GURLEY ST STE 1",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863052852",
"telephone_number": "928-445-8033",
"fax_number": "928-443-1373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4025 W BELL RD",
"address_2": "SUITE #18",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850532750",
"telephone_number": "602-843-1275",
"fax_number": "602-938-4910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGGINS",
"first_name": "ALBERT",
"middle_name": "MITCHEL",
"name_prefix": "Mr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2010-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "AZ",
"license": "D4361",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "136673",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.