Active NPI
John B Oettinger, D.M.D.
- Prosthodontics
- Birmingham, AL
National Provider Identifier
1891027488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 5625
- Practice address
- 1919 7TH Ave S
SDB 418
Birmingham, AL 35233-2005 - Phone
- (205) 934-4540
- NPI assigned
- Feb 5, 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 5625 | AL | Primary |
Addresses
Primary practice location
1919 7TH Ave S
SDB 418
Birmingham, AL 35233-2005
Mailing address
4424 7TH Ave S
Birmingham, AL 35222-3460
Phone (205) 934-4540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Aug 9, 2016 through Aug 9, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08937 | NC | MD | Pharmacist |
| 5625 | AL | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265328000000",
"number": "1891027488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4424 7TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352223460",
"telephone_number": "205-934-4540",
"fax_number": "205-934-9272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 7TH AVE S",
"address_2": "SDB 418",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352332005",
"telephone_number": "205-934-4540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OETTINGER",
"first_name": "JOHN",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-05",
"last_updated": "2010-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "AL",
"license": "5625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Feb 5, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.