Organization Active NPI

Children and Teen Ortho Group of Alabama

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Tuscaloosa, AL
National Provider Identifier
1063969368
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
CHILDREN AND TEEN ORTHO GROUP OF ALABAMA
Practice address
221 Rice Mine Rd NE Ste 260
Tuscaloosa, AL 35406-2401
Phone
(205) 758-3341
Fax
(678) 550-5490
NPI assigned
Sep 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Authorized official

Name
Brian Smith
Title
Ceo
Phone
(470) 207-3264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

221 Rice Mine Rd NE Ste 260
Tuscaloosa, AL 35406-2401

Mailing address

2300 Lakeview Pkwy Ste 250
Alpharetta, GA 30009-3954
Phone (470) 207-3264

Other practice location 1

1713 Hamric Dr E Ste C
Oxford, AL 36203-2015
Phone (246) 403-7450

Other practice location 2

4901 Deerfoot Pkwy Ste 101
Trussville, AL 35173-2697
Phone (205) 655-1000

Other practice location 3

404 S 5th St
Gadsden, AL 35901-5102
Phone (256) 456-4604

Other practice location 4

3825 Lorna Rd Ste 206
Hoover, AL 35244-3003
Phone (205) 988-9800

National Provider Directory

National Provider Directory

Locations

221 Rice Mine Rd NE
Ste 260
Tuscaloosa, AL 35406
Phone (205) 758-3341

NPI Registry JSON

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1063969368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 LAKEVIEW PKWY STE 250",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300093954",
            "telephone_number": "470-207-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 RICE MINE RD NE STE 260",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062401",
            "telephone_number": "205-758-3341",
            "fax_number": "678-550-5490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1713 Hamric Dr E Ste C",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "AL",
            "postal_code": "362032015",
            "country_code": "US",
            "telephone_number": "246-403-7450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4901 Deerfoot Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Trussville",
            "state": "AL",
            "postal_code": "351732697",
            "country_code": "US",
            "telephone_number": "205-655-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "404 S 5th St",
            "address_purpose": "LOCATION",
            "city": "Gadsden",
            "state": "AL",
            "postal_code": "359015102",
            "country_code": "US",
            "telephone_number": "256-456-4604",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3825 Lorna Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Hoover",
            "state": "AL",
            "postal_code": "352443003",
            "country_code": "US",
            "telephone_number": "205-988-9800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILDREN AND TEEN ORTHO GROUP OF ALABAMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-02",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-207-3264"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.