Individual provider Active NPI

Christine Blass

  • Dentist
  • Brent, AL
National Provider Identifier
1942656384
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6322 Issued in AL
Practice address
565 Bibb LN
Brent, AL 35034-4040
Phone
(205) 926-5252
NPI assigned
May 4, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6322 AL Primary

Addresses

Primary practice location

565 Bibb LN
Brent, AL 35034-4040

Mailing address

237 Allen Ave
Homewood, AL 35209-6508
Phone (205) 540-7765

Other practice location 1

625 19th Street South
Birmingham, AL 35249
Phone (205) 934-2552

Other practice location 2

2930 4th Ave S
Birmingham, AL 35233-2914
Phone (205) 251-8128

Other names 1

  • Christine Culleton Former name

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
I20160912000802 AL Order and Referring Only - DentistPractitioner - Dentist 3779879150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: cblass@direct.uabmedicine.org

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1942656384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 ALLEN AVE",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352096508",
            "telephone_number": "205-540-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 BIBB LN",
            "city": "BRENT",
            "state": "AL",
            "postal_code": "350344040",
            "telephone_number": "205-926-5252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 19th Street South",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "35249",
            "country_code": "US",
            "telephone_number": "205-934-2552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2930 4th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352332914",
            "country_code": "US",
            "telephone_number": "205-251-8128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLASS",
        "first_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "6322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "CULLETON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brent, AL

Sources for this page

Verify at the official NPI Registry.