Individual provider Active NPI

J Timothy Haywood, D.M.D.

  • General Practice Dentistry
  • Birmingham, AL
National Provider Identifier
1912060427
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4161 Issued in AL
Practice address
202 Inverness Center Dr
Suite 301
Birmingham, AL 35242-7633
Phone
(205) 991-8939
Fax
(205) 995-5028
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4161 AL Primary

Addresses

Primary practice location

202 Inverness Center Dr
Suite 301
Birmingham, AL 35242-7633

Mailing address

202 Inverness Center Dr
Suite 301
Birmingham, AL 35242-7633
Phone (205) 991-8939

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
I20160527000792 AL Order and Referring Only - DentistPractitioner - Dentist 0749570067

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4161ALMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912060427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 INVERNESS CENTER DR",
            "address_2": "SUITE 301",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352427633",
            "telephone_number": "205-991-8939",
            "fax_number": "205-995-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 INVERNESS CENTER DR",
            "address_2": "SUITE 301",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352427633",
            "telephone_number": "205-991-8939",
            "fax_number": "205-995-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYWOOD",
        "first_name": "J",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.