Preston Callaway Adams, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

6015 Issued in AL

Practice address

2045 Brookwood Medical Ctr Dr Ste 6
Homewood, AL 35209-6809

Phone

(205) 326-7444

Fax

(205) 637-1933

NPI assigned

Jun 15, 2013

Last updated

Jun 9, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adams Southern Dental Arts, LLC

  • General Practice Dentistry
  • Homewood, AL
  • NPI 1114594934
  NPD Authorized official
• Paul Gaston Petznick DMD Fagd LLC

  dba Petznick Dental

  • Dental Clinic/Center
  • Homewood, AL
  • NPI 1265970487
  NPD (past)

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

{
    "created_epoch": "1371254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1003255720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MONTEVALLO LN",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352134435",
            "telephone_number": "334-796-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 BROOKWOOD MEDICAL CTR DR STE 6",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352096809",
            "telephone_number": "205-326-7444",
            "fax_number": "205-637-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "PRESTON",
        "middle_name": "CALLAWAY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-15",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "6015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 3T Imaging, LLC (ImageSouth 3T Imaging)
• Abiding Place Counseling Center LLC (Sargent's Counseling)
• Abroms &Brandner, M.D., P.C.
• Adams Southern Dental Arts, LLC
• George W. Adams Jr., M.D.
• Agile Biodetection
• Agilitas USA Inc (Results Physiotherapy)
• Al Thoracic Institute LLC
• Alabama CVS Pharmacy LLC (CVS Pharmacy #17642)
• Alabama CVS Pharmacy, L.L.C. (CVS Pharmacy #04904)

• Dentist in Homewood, AL
• Providers in Homewood, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.