Active NPI
Daniel Alan Nix, D.M.D.
- General Practice Dentistry
- Trussville, AL
National Provider Identifier
1952490633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5056
- Practice address
- 5750 Bentley Way
Trussville, AL 35173 - Phone
- (205) 655-5144
- Fax
- (205) 655-2566
- NPI assigned
- Oct 12, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5056 | AL | Primary |
Addresses
Primary practice location
5750 Bentley Way
Trussville, AL 35173
Mailing address
5750 Bentley Way
Trussville, AL 35173
Phone (205) 655-5144
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 667077 | Other | AL | UNITED CONCORDIA |
| 515-00457 | Other | AL | BCBS PROVIDER NUMBER |
| 631260994 | Other | AL | TAX IDENTIFICATION NUMBER |
| 009946890 | Medicaid | AL |
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 |
|---|---|---|---|
| 5056 | AL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Wedowee Dental | Current | 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.
-
- Dental Clinic/Center
- Wedowee, AL
- NPI 1346139318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310083200000",
"number": "1952490633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5750 BENTLEY WAY",
"city": "TRUSSVILLE",
"state": "AL",
"postal_code": "35173",
"telephone_number": "205-655-5144",
"fax_number": "205-655-2566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5750 BENTLEY WAY",
"city": "TRUSSVILLE",
"state": "AL",
"postal_code": "35173",
"telephone_number": "205-655-5144",
"fax_number": "205-655-2566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIX",
"first_name": "DANIEL",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2011-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "5056",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "667077",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "515-00457",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NUMBER",
"identifier": "631260994",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009946890",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Trussville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.