North Jefferson Pediatric Dentistry, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

4970 Issued in AL

Legal business name

NORTH JEFFERSON PEDIATRIC DENTISTRY, LLC

Practice address

925 Sharit Ave
Stuite 113
Gardendale, AL 35071-5000

Phone

(205) 631-2240

Fax

(205) 631-1611

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Selena D Devine

Title

Office Manager

Phone

(205) 631-2240

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Amy T. Parvin, D.M.D. Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy T Parvin, D. M. D.

  • Pediatric Dentistry
  • Gardendale, AL
  • NPI 1972692242
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043351950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 SHARIT AVE",
            "address_2": "STUITE 113",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350715000",
            "telephone_number": "205-631-2240",
            "fax_number": "205-631-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 SHARIT AVE",
            "address_2": "STUITE 113",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350715000",
            "telephone_number": "205-631-2240",
            "fax_number": "205-631-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH JEFFERSON PEDIATRIC DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEVINE",
        "authorized_official_first_name": "SELENA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "205-631-2240",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "4970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI",
            "identifier": "1356891",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "51531288",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amy T. Parvin, D.M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Erin Hamilton Niblett, RN, CRNA
• John Christopher Nichols, M.D.
• Carol Ann Nicrosi, DMD
• North Jefferson Imaging, LLC
• North Jefferson Infusion and Health LLC
• North Jefferson Pediatrics
• Olivia Grace Nunnally, PHARM.D.
• Erin G Obed, PT
• Lynne Ashley Obiaka, MD
• Orthosports Associates, LLC

• Pediatric Dentistry in Gardendale, AL
• Providers in Gardendale, AL by specialty
• Pediatric Dentistry in Alabama

• 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.