CARL ROSS PROVENZANO DDS
NPI 1548895543
Dentist - General Practice in Birmingham, AL
About Carl Ross Provenzano Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARL ROSS PROVENZANO DDS (NPI 1548895543) is an individual general practice provider in Birmingham, Alabama, licensed in Alabama (D-6826-C1) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carl Ross Provenzano Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35233 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BIRMINGHAM, AL 35233
BIRMINGHAM, AL 35233
BIRMINGHAM, AL 35233
BIRMINGHAM, AL 35233
BIRMINGHAM, AL 35233
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Carl Provenzano's NPI number?
The NPI number for Carl Provenzano is 1548895543. It was assigned to this individual provider in the NPPES registry on March 10, 2020.
Where is Carl Provenzano located?
Carl Provenzano practices at 625 19th St S, Birmingham, AL 35233. The listed phone number is (205) 934-4507.
What is Carl Provenzano's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Carl Provenzano enrolled in Medicare?
Yes. Carl Provenzano is registered in the Medicare PECOS enrollment system.
What insurance does Carl Provenzano accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 11 other insurers list Carl Provenzano as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Carl Provenzano was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Carl Ross Provenzano, DDS · NPI 1548895543
General Practice provider in Birmingham, Alabama. Individual provider, active in the CMS NPPES registry since March 10, 2020.
## Identity
- **NPI:** 1548895543 (Entity type: Individual)
- **Enumerated:** March 10, 2020
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** D-6826-C1 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 625 19TH ST S, Birmingham, AL 35233-1900
- **Phone:** (205) 934-4507
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** August 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1548895543) · Data from the CMS NPPES public registry.