DR. DOUGLAS AUSTIN DENSON D.M.D., M.D.
NPI 1659637908
Dentist - Oral and Maxillofacial Surgery in Birmingham, AL

Active since April 11, 2012PECOS EnrolledAccepts Medicare Assignment
619 19TH ST S, BIRMINGHAM, AL 35249(205) 934-5334 Get Directions Write a Review

NPPES record last updated: January 2, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 2, 2019, Mar 17, 2018, May 21, 2017 (3 updates tracked since 2017).

About Dr. Douglas Austin Denson D.m.d., M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DOUGLAS AUSTIN DENSON D.M.D., M.D. (NPI 1659637908) is an individual oral and maxillofacial surgery provider in Birmingham, Alabama, licensed in Alabama (5938) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Anniston, and is a graduate of University Of Alabama School Of Dentistry (2012).

NPPES Registry Identity

NPI1659637908
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. DOUGLAS AUSTIN DENSONCredential: D.M.D., M.D.
Location Address619 19TH ST SBirmingham, AL 35249-1900
Mailing Address619 19th St SBirmingham, AL 35249-1900 · (205) 934-5334
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of DentistryGraduated 2012
Enumeration DateApril 11, 2012
Last NPPES UpdateJanuary 2, 20193 updates tracked since enumeration
NPI 1659637908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in AL · 5938
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentistTaxonomy 122300000X · License 5938 (AL)
619 19TH ST S, Birmingham, AL 35249

Secondary Practice Location 1

Location 1230 E 10th St Ste 106Anniston, AL 36207-5771 · Phone (256) 741-7340 · Fax (256) 741-7373

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 and accepts Medicare assignment

Dr. Douglas Austin Denson D.m.d., M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547410375
PECOS Enrollment IDI20180706002461
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
27 services27 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services14 patients
X-ray of lower jaws, upper jaws and teeth 70355
An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35249 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Radiology (Diagnostic Radiology)
619 19TH ST S, JT N342
BIRMINGHAM, AL 35249
Internal Medicine (Nephrology)
619 19TH ST S
BIRMINGHAM, AL 35249
Anesthesiology
619 19TH ST S
BIRMINGHAM, AL 35249
Surgery (Surgical Critical Care)
619 19TH ST S
BIRMINGHAM, AL 35249
Nurse Practitioner (Acute Care)
619 19TH ST S
BIRMINGHAM, AL 35249
Pharmacist
619 19TH ST S
BIRMINGHAM, AL 35249
Pathology (Anatomic Pathology & Clinical Pathology)
619 19TH ST S
BIRMINGHAM, AL 35249
Emergency Medicine
619 19TH ST S
BIRMINGHAM, AL 35249

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 Douglas Denson's NPI number?

The NPI number for Douglas Denson is 1659637908. It was assigned to this individual provider in the NPPES registry on April 11, 2012.

Where is Douglas Denson located?

Douglas Denson practices at 619 19th St S, Birmingham, AL 35249. The listed phone number is (205) 934-5334.

What is Douglas Denson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Douglas Denson enrolled in Medicare?

Yes. Douglas Denson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Douglas Denson accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 14 other insurers list Douglas Denson 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 Douglas Denson was last updated on January 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.