Active NPI
Gregory Michael Sweeney Jr., D.M.D
- Dentist
- Daphne, AL
National Provider Identifier
1912943242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5419
- Practice address
- 9815 Millwood Cir
Daphne, AL 36526-5450 - Phone
- (251) 454-5101
- NPI assigned
- Jun 22, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 5419 | AL | Primary |
Addresses
Primary practice location
9815 Millwood Cir
Daphne, AL 36526-5450
Mailing address
9815 Millwood Cir
Daphne, AL 36526-5450
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51533772 | Other | AL | BCBS |
| 631400177 | Medicaid | AL | |
| 631411177 | Medicaid | AL | |
| 51533773 | Other | AL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5419 | AL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222646400000",
"number": "1912943242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9815 MILLWOOD CIR",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365265450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9815 MILLWOOD CIR",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365265450",
"telephone_number": "251-454-5101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEENEY",
"first_name": "GREGORY",
"middle_name": "MICHAEL",
"name_suffix": "Jr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2008-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "5419",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51533772",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "631400177",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "631411177",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51533773",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Daphne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.