NPIMap

Organization Active NPI

Decatur Family Dentistry, PC

  • General Practice Dentistry
  • Decatur, AL
National Provider Identifier
1073608477
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5021 Issued in AL
Legal business name
DECATUR FAMILY DENTISTRY, PC
Practice address
2426 Danville Road SW
Suite R
Decatur, AL 35603
Phone
(256) 355-1557
Fax
(256) 355-1911
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

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

Authorized official

Name
Dr. Alicia Johnson Nails, DMDNPI 1831282565
Title
Dentist/Owner
Phone
(256) 355-1557

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5021 AL Primary

Addresses

Primary practice location

2426 Danville Road SW
Suite R
Decatur, AL 35603

Mailing address

2426 Danville Road SW
Suite R
Decatur, AL 35603
Phone (256) 355-1557

Other identifiers 2

IdentifierTypeStateIssuer
1375438OtherALUNITED CONCORDIA PROV. #
51507837NAIOtherALBCBS OF AL PROV. #

National Provider Directory

National Provider Directory

Locations

2426 Danville Rd SW
Ste R
Decatur, AL 35603
Phone (256) 353-2392

Practitioners & affiliated clinicians

Practitioners 1

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1073608477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2426 DANVILLE ROAD SW",
            "address_2": "SUITE R",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "35603",
            "telephone_number": "256-355-1557",
            "fax_number": "256-355-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2426 DANVILLE ROAD SW",
            "address_2": "SUITE R",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "35603",
            "telephone_number": "256-355-1557",
            "fax_number": "256-355-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "NAILS",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "256-355-1557",
        "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": "5021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROV. #",
            "identifier": "1375438",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL PROV. #",
            "identifier": "51507837NAI",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.