Organization Active NPI

Smart Dental Holdings, LLC

  • General Practice Dentistry
  • Bessemer, AL
National Provider Identifier
1043313281
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5345 Issued in AL
Legal business name
SMART DENTAL HOLDINGS, LLC
Practice address
5751 Pocahontas Road
Suite a
Bessemer, AL 35022-5478
Phone
(205) 477-4242
Fax
(205) 477-4243
NPI assigned
Sep 6, 2006
Organization subpart
Yes
Parent organization
MCCALLA FAMILY DENTISTRY, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 26, 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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5345 AL Primary

Addresses

Primary practice location

5751 Pocahontas Road
Suite a
Bessemer, AL 35022-5478

Mailing address

5751 Pocahontas Road
Suite a
Bessemer, AL 35022-5478
Phone (205) 477-4242

Other names 1

  • McCalla Dental Other name

National Provider Directory

National Provider Directory
Tax ID family
Smart Dental Holdings LLC9 organizations share this tax ID, including this one
Part of
McCalla Family Dentistry PC

Other organizations with this tax ID 8

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1043313281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 POCAHONTAS ROAD",
            "address_2": "SUITE 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": "5751 POCAHONTAS ROAD",
            "address_2": "SUITE A",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350225478",
            "telephone_number": "205-477-4242",
            "fax_number": "205-477-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART DENTAL HOLDINGS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCCALLA FAMILY DENTISTRY, PC",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McCalla Dental",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "McCalla Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bessemer, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.