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
- Last updated
- Nov 1, 2010
- 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
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, 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": "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": [],
"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.