Active NPI
David William Clanton, D.M.D.
- Endodontics
- Birmingham, AL
National Provider Identifier
1932210531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 3661
- Practice address
- 2045 Brookwood Medical Ctr Dr
Suite 24
Birmingham, AL 35209-6874 - Phone
- (205) 870-8833
- Fax
- (205) 870-0120
- NPI assigned
- Aug 31, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 3661 | AL | Primary |
| Endodontics | 1223E0200X | 9500 | GA |
Addresses
Primary practice location
2045 Brookwood Medical Ctr Dr
Suite 24
Birmingham, AL 35209-6874
Mailing address
2045 Brookwood Medical Ctr Dr
Suite 24
Birmingham, AL 35209-6874
Phone (205) 870-8833
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 440479 | Other | AL | UNITED CONCORDIA |
| 515-03125 | Other | AL | BLUE CROSS AND BLUE SHIEL |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3661 | AL | MD | Endodontist |
| 9500 | GA | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David Ashley Oral & Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Oral and Maxillofacial Surgery Clinic/Center
- Birmingham, AL
- NPI 1396246906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299542400000",
"number": "1932210531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2045 BROOKWOOD MEDICAL CTR DR",
"address_2": "SUITE 24",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352096874",
"telephone_number": "205-870-8833",
"fax_number": "205-870-0120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2045 BROOKWOOD MEDICAL CTR DR",
"address_2": "SUITE 24",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352096874",
"telephone_number": "205-870-8833",
"fax_number": "205-870-0120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLANTON",
"first_name": "DAVID",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2011-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "AL",
"license": "3661",
"primary": true
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "GA",
"license": "9500",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "440479",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIEL",
"identifier": "515-03125",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.