Individual provider Active NPI

Andrea Flavia Nunes, DMD

  • General Practice Dentistry
  • Vestavia, AL
National Provider Identifier
1982880324
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5514 Issued in AL
Practice address
8000 Liberty Pkwy Ste 126
Vestavia, AL 35242
Phone
(205) 413-8116
NPI assigned
Jan 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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 5514 AL Primary

Addresses

Primary practice location

8000 Liberty Pkwy Ste 126
Vestavia, AL 35242

Mailing address

3508 Springhill Rd
Mountain BRK, AL 35223-2013
Phone (205) 602-4533

Other practice location 1

101 Highway 87 Bldg 200
Calera, AL 35040-7209
Phone (205) 620-3312

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

LicenseStateTypeSpecialty
5514ALMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Park Family Dentistry Past Accepting new patients
Calera Dental Center General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1982880324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 SPRINGHILL RD",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232013",
            "telephone_number": "205-602-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 LIBERTY PKWY STE 126",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "35242",
            "telephone_number": "205-413-8116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Highway 87 Bldg 200",
            "address_purpose": "LOCATION",
            "city": "Calera",
            "state": "AL",
            "postal_code": "350407209",
            "country_code": "US",
            "telephone_number": "205-620-3312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNES",
        "first_name": "ANDREA",
        "middle_name": "FLAVIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.