Organization Active NPI

Pediatric Smiles

  • Pediatric Dentistry
  • Bessemer, AL
National Provider Identifier
1003136615
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
5647 Issued in AL
Legal business name
PEDIATRIC SMILES
Practice address
5751 Pocahontas Road
Suite B
Bessemer, AL 35022-5711
Phone
(205) 451-7029
NPI assigned
Jun 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Tabitha Jarman Gatrey, DMD
Title
Owner/Dentist
Phone
(205) 451-7029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 5647 AL Primary

Addresses

Primary practice location

5751 Pocahontas Road
Suite B
Bessemer, AL 35022-5711

Mailing address

5751 Pocahontas Road
Suite B
Bessemer, AL 35022
Phone (205) 230-9000

National Provider Directory

National Provider Directory

Locations

5910 Harris Ln
Bessemer, AL 35022

5751 Pocahontas Rd
Ste B
Bessemer, AL 35022
Phone (205) 230-9000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1003136615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 POCAHONTAS ROAD",
            "address_2": "SUITE B",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "35022",
            "telephone_number": "205-230-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5751 POCAHONTAS ROAD",
            "address_2": "SUITE B",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350225711",
            "telephone_number": "205-451-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "JARMAN GATREY",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "205-451-7029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "5647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.