NPIMap

Organization Active NPI

Uab Hospital

Doing business as Fairhaven Oral Health Center

  • Dental Clinic/Center
  • Irondale, AL
National Provider Identifier
1013256650
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
UAB HOSPITAL
Doing business as
Fairhaven Oral Health Center
Practice address
1424 Montclair Rd
Irondale, AL 35210-2208
Phone
(205) 951-1473
NPI assigned
Feb 1, 2013
Last updated
Feb 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2013

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

Authorized official

Name
Lillian M Mitchell, DDS
Title
Dental Director
Phone
(205) 951-1473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

1424 Montclair Rd
Irondale, AL 35210-2208

Mailing address

1424 Montclair Rd
Irondale, AL 35210-2208
Phone (205) 951-1473

Other names 1

  • Fairhaven Oral Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Robert T Brown MD48 organizations share this tax ID, including this one

Other organizations with this tax ID 47

Organizations that report the same tax identification number in the National Provider Directory.

View all 47

Locations

1424 Montclair Rd
Irondale, AL 35210
Phone (205) 956-4150

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/11e960ca-465e-403d-a8ac-dfa9be65dd83/

NPI Registry JSON

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359676800000",
    "number": "1013256650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 MONTCLAIR RD",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352102208",
            "telephone_number": "205-951-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 MONTCLAIR RD",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352102208",
            "telephone_number": "205-951-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UAB HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-01",
        "last_updated": "2013-02-01",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTAL DIRECTOR",
        "authorized_official_telephone_number": "205-951-1473",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairhaven Oral Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irondale, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; 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.