NPIMap

Organization Active NPI

Matthew D. Litz, D.D.S., LLC

  • Periodontics
  • Birmingham, AL
National Provider Identifier
1053578591
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
5543 Issued in AL
Legal business name
MATTHEW D. LITZ, D.D.S., LLC
Practice address
400 Century Park S
Suite 200
Birmingham, AL 35226-3945
Phone
(205) 822-3222
Fax
(205) 822-3504
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Dr. Matthew David Litz
Title
Owner
Phone
(205) 822-3222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 5543 AL Primary

Addresses

Primary practice location

400 Century Park S
Suite 200
Birmingham, AL 35226-3945

Mailing address

400 Century Park S
Suite 200
Birmingham, AL 35226-3945
Phone (205) 822-3222

National Provider Directory

National Provider Directory

Locations

400 Century Park S
Ste 200
Birmingham, AL 35226
Phone (205) 822-3222

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1053578591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CENTURY PARK S",
            "address_2": "SUITE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352263945",
            "telephone_number": "205-822-3222",
            "fax_number": "205-822-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CENTURY PARK S",
            "address_2": "SUITE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352263945",
            "telephone_number": "205-822-3222",
            "fax_number": "205-822-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW D. LITZ, D.D.S., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "LITZ",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-822-3222",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "AL",
            "license": "5543",
            "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 May 21, 2008; 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.