University of Alabama at Birmingham
NPI 1053182055ActiveOrganization· Dentist, General Practice· Dothan, AL
Dentist, General Practice in Dothan, Alabama, registered in NPPES in January 2024, part of University of Alabama at Birmingham. The authorized official on file is Jacquiselyn Story, Director Business Office.
Overview
| NPI | 1053182055 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | University of Alabama at Birmingham |
| NPI issued | Jan 10, 2024 |
| Last updated in NPPES | Jan 10, 2024 |
| Certified by provider | Jan 10, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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