Organization Active NPI

Point Clear Dental Assoc LLC

  • General Practice Dentistry
  • Fairhope, AL
National Provider Identifier
1033899075
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
POINT CLEAR DENTAL ASSOC LLC
Practice address
18157 Wright Blvd
Fairhope, AL 36532-7335
Phone
(251) 928-0620
NPI assigned
Jul 24, 2023
Last updated
Jul 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Authorized official

Name
John C Green
Title
Owner
Phone
(251) 928-0620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

18157 Wright Blvd
Fairhope, AL 36532-7335

Mailing address

18157 Wright Blvd
Fairhope, AL 36532-7335

National Provider Directory

National Provider Directory

Locations

18157 Wright Blvd
Fairhope, AL 36532
Phone (251) 928-0620

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1033899075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18157 WRIGHT BLVD",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365327335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18157 WRIGHT BLVD",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365327335",
            "telephone_number": "251-928-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POINT CLEAR DENTAL ASSOC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-928-0620"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.