Organization Active NPI

Michael a. Dasinger

  • General Practice Dentistry
  • Brewton, AL
National Provider Identifier
1891959151
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2510 Issued in AL
Legal business name
MICHAEL A. DASINGER
Practice address
422 Douglas Ave
Brewton, AL 36426-2052
Phone
(251) 867-6837
Fax
(251) 867-6278
NPI assigned
Jul 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Mrs. Becky Jane Barrow, DMD
Title
Office Manager
Phone
(251) 867-6837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2510 AL Primary

Addresses

Primary practice location

422 Douglas Ave
Brewton, AL 36426-2052

Mailing address

422 Douglas Ave
Brewton, AL 36426-2052
Phone (251) 867-6837

Other identifiers 1

IdentifierTypeStateIssuer
1538269576MedicaidAL

National Provider Directory

National Provider Directory

Locations

422 Douglas Ave
Brewton, AL 36426
Phone (251) 867-6837

Practitioners & affiliated clinicians

Practitioners 2

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": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1891959151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 DOUGLAS AVE",
            "city": "BREWTON",
            "state": "AL",
            "postal_code": "364262052",
            "telephone_number": "251-867-6837",
            "fax_number": "251-867-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 DOUGLAS AVE",
            "city": "BREWTON",
            "state": "AL",
            "postal_code": "364262052",
            "telephone_number": "251-867-6837",
            "fax_number": "251-867-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A. DASINGER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "BARROW",
        "authorized_official_first_name": "BECKY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "251-867-6837",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "2510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538269576",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.