NPIMap

Organization Active NPI

University of Alabama Birmingham

  • Dentist
  • Birmingham, AL
National Provider Identifier
1881769974
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
UNIVERSITY OF ALABAMA BIRMINGHAM
Practice address
1919 7TH Ave South SDB Box 538
Birmingham, AL 35294-0001
Phone
(205) 934-2340
Fax
(205) 934-7899
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Authorized official

Name
Joni Rousse Wyatt
Title
Director, Uab Dental Faculty Practi
Phone
(205) 996-7409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1919 7TH Ave South SDB Box 538
Birmingham, AL 35294-0001

Mailing address

1919 7TH Ave South SDB Box 538
Birmingham, AL 35294-0001
Phone (205) 934-2340

Other names 1

  • UAB DENTAL FACULTY PRACTICE Other name

National Provider Directory

National Provider Directory
Tax ID family
Uab Sparks Center CDLD48 organizations share this tax ID, including this one

Other organizations with this tax ID 47

Organizations that report the same tax identification number in the National Provider Directory.

View all 47

Locations

1919 7th Ave S
#538
Birmingham, AL 35233
Phone (205) 934-2340

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1881769974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 7TH AVE SOUTH SDB BOX 538",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352940001",
            "telephone_number": "205-934-2340",
            "fax_number": "205-934-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 7TH AVE SOUTH SDB BOX 538",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352940001",
            "telephone_number": "205-934-2340",
            "fax_number": "205-934-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF ALABAMA BIRMINGHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "JONI",
        "authorized_official_middle_name": "ROUSSE",
        "authorized_official_title_or_position": "DIRECTOR, UAB DENTAL FACULTY PRACTI",
        "authorized_official_telephone_number": "205-996-7409"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UAB DENTAL FACULTY PRACTICE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.