NPIMap

Organization Active NPI

Smart Dental Holdings LLC

Doing business as Luma Dentistry Crestline

  • General Practice Dentistry
  • Irondale, AL
National Provider Identifier
1023615762
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SMART DENTAL HOLDINGS LLC
Doing business as
Luma Dentistry Crestline
Practice address
4616 Montevallo Rd Ste 100
Irondale, AL 35210-3104
Phone
(205) 951-2191
Fax
(205) 951-2191
NPI assigned
Oct 6, 2020
Last updated
Oct 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Authorized official

Name
Christie Knight
Title
Revenue Cycle Director
Phone
(205) 477-4242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

4616 Montevallo Rd Ste 100
Irondale, AL 35210-3104

Mailing address

5751 Pocahontas Rd Ste a
Bessemer, AL 35022-5478
Phone (205) 477-4242

Other names 1

  • Luma Dentistry Crestline Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Smart Dental Holdings LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

5751 Pocahontas Rd
Ste A
Bessemer, AL 35022
Phone (205) 273-0143

4616 Montevallo Rd
#100
Irondale, AL 35210
Phone (205) 951-2191

NPI Registry JSON

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1023615762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 POCAHONTAS RD STE A",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350225478",
            "telephone_number": "205-477-4242",
            "fax_number": "205-477-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4616 MONTEVALLO RD STE 100",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352103104",
            "telephone_number": "205-951-2191",
            "fax_number": "205-951-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART DENTAL HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "205-477-4242"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luma Dentistry Crestline",
            "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 Oct 6, 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.