Individual provider Active NPI

James Alan Aultman, D.M.D.. M.S.

  • Dentist
  • Birmingham, AL
National Provider Identifier
1891129540
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6085 Issued in AL
Practice address
100 57TH St S
Birmingham, AL 35212-2541
Phone
(205) 591-1101
NPI assigned
Aug 29, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6085 AL Primary

Addresses

Primary practice location

100 57TH St S
Birmingham, AL 35212-2541

Mailing address

100 57TH St S
Birmingham, AL 35212-2541
Phone (205) 591-1101

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: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160111000861 AL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0446552277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6085ALMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Aultman Dental Leeds Current Accepting new patients
Benjamin D. Williams DMD PA Dentist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1891129540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 57TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352122541",
            "telephone_number": "205-591-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 57TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352122541",
            "telephone_number": "205-591-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AULTMAN",
        "first_name": "JAMES",
        "middle_name": "ALAN",
        "credential": "D.M.D.. M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-29",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "6085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.