Individual provider Active NPI

Ann F Drummond, D.M.D.

  • Periodontics
  • Birmingham, AL
National Provider Identifier
1952422339
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
4506 Issued in AL
Practice address
3825 Lorna Rd
Suite 210
Birmingham, AL 35244-3005
Phone
(205) 988-0363
Fax
(205) 988-0399
NPI assigned
Apr 3, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
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
Periodontics 1223P0300X 4506 AL Primary

Addresses

Primary practice location

3825 Lorna Rd
Suite 210
Birmingham, AL 35244-3005

Mailing address

3825 Lorna Rd
Suite 210
Birmingham, AL 35244-3005
Phone (205) 988-0363

Other identifiers 2

IdentifierTypeStateIssuer
985185OtherALUNITED CONCORDIA
91467OtherALBCBS OF AL 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
I20150706002655 AL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0042522997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4506ALMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952422339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 LORNA RD",
            "address_2": "SUITE 210",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352443005",
            "telephone_number": "205-988-0363",
            "fax_number": "205-988-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 LORNA RD",
            "address_2": "SUITE 210",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352443005",
            "telephone_number": "205-988-0363",
            "fax_number": "205-988-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUMMOND",
        "first_name": "ANN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "AL",
            "license": "4506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "985185",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL ID",
            "identifier": "91467",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.