Organization Active NPI

DRS. Tatum and Walker, L.L.C.

  • General Practice Dentistry
  • Prattville, AL
National Provider Identifier
1023101698
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2828 Issued in AL
Legal business name
DRS. TATUM AND WALKER, L.L.C.
Practice address
597 South Memorial Drive
Prattville, AL 36066
Phone
(334) 365-9732
Fax
(334) 365-9328
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Charles S Tatum, D.M.D.NPI 1295945772
Title
Partner
Phone
(334) 365-9732

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2828 AL Primary

Addresses

Primary practice location

597 South Memorial Drive
Prattville, AL 36066

Mailing address

597 South Memorial Drive
Prattville, AL 36066
Phone (334) 365-9732

National Provider Directory

National Provider Directory

Locations

597 S Memorial Dr
Prattville, AL 36067
Phone (334) 365-9732

Practitioners & affiliated clinicians

Practitioners 3

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": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023101698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 SOUTH MEMORIAL DRIVE",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "36066",
            "telephone_number": "334-365-9732",
            "fax_number": "334-365-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 SOUTH MEMORIAL DRIVE",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "36066",
            "telephone_number": "334-365-9732",
            "fax_number": "334-365-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. TATUM AND WALKER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TATUM",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "334-365-9732",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "2828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prattville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.