Pike Road Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

5159 Issued in AL

Legal business name

PIKE ROAD DENTAL, LLC

Practice address

31 Bridge St
Pike Road, AL 36064

Phone

(334) 819-7377

Fax

(334) 819-7379

NPI assigned

Jun 28, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Yolanda Walters

Title

Office Manager

Phone

(334) 819-7377

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1053806331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 BRIDGE ST",
            "city": "PIKE ROAD",
            "state": "AL",
            "postal_code": "360643843",
            "telephone_number": "334-819-7377",
            "fax_number": "334-819-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 BRIDGE ST",
            "city": "PIKE ROAD",
            "state": "AL",
            "postal_code": "36064",
            "telephone_number": "334-819-7377",
            "fax_number": "334-819-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKE ROAD DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "334-819-7377",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "5159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Origins Counseling and Wellness
• Kana Pair
• Palmetto Health Group
• Ercie Angela Parker, LPC
• Pike Road Counseling, LLC
• Pike Road Pharmacy
• Pike Road Rehab, LLC
• Pike Road Volunteer Fire Protection
• Lindsey Pinkham
• Primaryarc Health, LLC

• Dental Clinic/Center in Pike Road, AL
• Providers in Pike Road, AL by specialty
• Dental Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.