NPIMap

Organization Active NPI

Brookwood Dentistry PC

  • General Practice Dentistry
  • Birmingham, AL
National Provider Identifier
1053463919
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5013 Issued in AL
Legal business name
BROOKWOOD DENTISTRY PC
Practice address
2045 Brookwood Medical Ctr Dr
Suite 2
Birmingham, AL 35209-6874
Phone
(205) 871-3523
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Authorized official

Name
Dr. Andrew Craft, DMD
Title
President
Phone
(205) 871-3523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5013 AL Primary

Addresses

Primary practice location

2045 Brookwood Medical Ctr Dr
Suite 2
Birmingham, AL 35209-6874

Mailing address

2045 Brookwood Medical Ctr Dr
Suite 2
Birmingham, AL 35209-6874
Phone (205) 871-3523

Other names 1

  • Andrew J Craft DMD PC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Andrew J Craft DMD PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2045 Medical Center Dr
Ste 2
Birmingham, AL 35209
Phone (205) 871-3523

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1053463919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 BROOKWOOD MEDICAL CTR DR",
            "address_2": "SUITE 2",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096874",
            "telephone_number": "205-871-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 BROOKWOOD MEDICAL CTR DR",
            "address_2": "SUITE 2",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096874",
            "telephone_number": "205-871-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKWOOD DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "CRAFT",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-871-3523",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andrew J Craft DMD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 13, 2007; 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.