NPIMap

Organization Active NPI

Redmond Dental, Inc.

  • General Practice Dentistry
  • Moody, AL
National Provider Identifier
1003162389
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5213 Issued in AL
Legal business name
REDMOND DENTAL, INC.
Practice address
2301 Moody Pkwy
Ste #9
Moody, AL 35004-3012
Phone
(205) 640-0145
Fax
(205) 640-6002
NPI assigned
Jul 24, 2012
Last updated
Jul 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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

Authorized official

Name
Nathaniel D Redmond, D.M.DNPI 1770705907
Title
Owner
Phone
(205) 640-0145

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5213 AL Primary

Addresses

Primary practice location

2301 Moody Pkwy
Ste #9
Moody, AL 35004-3012

Mailing address

2301 Moody Pkwy
Ste #9
Moody, AL 35004-3012
Phone (205) 640-0145

National Provider Directory

National Provider Directory

Locations

2301 Moody Pkwy
Ste 9
Moody, AL 35004
Phone (205) 640-0145

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1003162389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 MOODY PKWY",
            "address_2": "STE #9",
            "city": "MOODY",
            "state": "AL",
            "postal_code": "350043012",
            "telephone_number": "205-640-0145",
            "fax_number": "205-640-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 MOODY PKWY",
            "address_2": "STE #9",
            "city": "MOODY",
            "state": "AL",
            "postal_code": "350043012",
            "telephone_number": "205-640-0145",
            "fax_number": "205-640-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDMOND DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "REDMOND",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-640-0145",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moody, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.