Organization Active NPI

Smart Dental Holdings, LLC

  • Dentist
  • Columbiana, AL
National Provider Identifier
1053955955
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SMART DENTAL HOLDINGS, LLC
Practice address
22727 Highway 25
Columbiana, AL 35051-3529
Phone
(205) 669-9900
NPI assigned
Nov 4, 2019
Organization subpart
Yes
Parent organization
MCCALLA FAMILY DENTISTRY PCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Christie Knight
Title
Revenue Cycle Director
Phone
(205) 477-4242

Corporate family (same tax ID) 2

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

National Provider Directory

National Provider Directory
Tax ID family
McCalla Family Dentistry PC (3 organizations share this tax ID)
Part of
McCalla Family Dentistry PC

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

NPPES NPI Registry

Primary practice location

22727 Highway 25
Columbiana, AL 35051-3529

Mailing address

5751 Pocahontas Rd Ste a
Bessemer, AL 35022-5478
Phone (205) 477-4242

Other names 1

NPPES NPI Registry
  • Luma Dentistry - Columbiana Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 26, 2020.

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1053955955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 POCAHONTAS RD STE A",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350225478",
            "telephone_number": "205-477-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22727 HIGHWAY 25",
            "city": "COLUMBIANA",
            "state": "AL",
            "postal_code": "350513529",
            "telephone_number": "205-669-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART DENTAL HOLDINGS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCCALLA FAMILY DENTISTRY PC",
        "enumeration_date": "2019-11-04",
        "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": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luma Dentistry - Columbiana",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Luma Dentistry - Columbiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbiana, 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.