Individual provider Active NPI

Mell James Dobbs, DMD

  • General Practice Dentistry
  • Birmingham, AL
National Provider Identifier
1932263902
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2952 Issued in AL
Practice address
3057 Lorna Rd Ste 102
Birmingham, AL 35216-4517
Phone
(205) 979-0110
Fax
(205) 380-4343
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
Yes

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 2952 AL Primary

Addresses

Primary practice location

3057 Lorna Rd Ste 102
Birmingham, AL 35216-4517

Mailing address

3057 Lorna Rd Ste 102
Birmingham, AL 35216-4517
Phone (205) 979-0110

Other identifiers 1

IdentifierTypeStateIssuer
91778OtherALBLUE CROSS ID #

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
I20160209000467 AL Order and Referring Only - DentistPractitioner - Dentist 8426352691

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2952ALMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932263902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3057 LORNA RD STE 102",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352164517",
            "telephone_number": "205-979-0110",
            "fax_number": "205-380-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3057 LORNA RD STE 102",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352164517",
            "telephone_number": "205-979-0110",
            "fax_number": "205-380-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBBS",
        "first_name": "MELL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "2952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID #",
            "identifier": "91778",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.