Organization Active NPI

Wayne Palestini DMD PC

  • Dental Clinic/Center
  • Birmingham, AL
National Provider Identifier
1033325105
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2636 Issued in AL
Legal business name
WAYNE PALESTINI DMD PC
Practice address
1029 35TH St West Ensley
Birmingham, AL 35216
Phone
(205) 781-3681
Fax
(205) 781-3682
NPI assigned
May 15, 2007
Last updated
Nov 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Authorized official

Name
Dr. Frederick Wayne Palestini, DMDNPI 1295076511
Title
Dentist President of Wayne Palestin
Phone
(205) 781-3681

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
Dental Clinic/Center 261QD0000X 2636 AL Primary

Addresses

Primary practice location

1029 35TH St West Ensley
Birmingham, AL 35216

Mailing address

1029 35TH St West Ensley
Birmingham, AL 35216
Phone (205) 781-3681

National Provider Directory

National Provider Directory

Locations

1029 35th St Ensley
Birmingham, AL 35218
Phone (205) 781-3681

Practitioners & affiliated clinicians

Practitioners 1

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": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1033325105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 35TH ST WEST ENSLEY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35216",
            "telephone_number": "205-781-3681",
            "fax_number": "205-781-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 35TH ST WEST ENSLEY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35216",
            "telephone_number": "205-781-3681",
            "fax_number": "205-781-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE PALESTINI DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "PALESTINI",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "DENTIST PRESIDENT OF WAYNE PALESTIN",
        "authorized_official_telephone_number": "205-781-3681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "2636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.