Organization Active NPI

Engle Dental

  • General Practice Dentistry
  • Moody, AL
National Provider Identifier
1083258651
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ENGLE DENTAL
Practice address
2323 Moody Pkwy
Moody, AL 35004-3012
Phone
(205) 640-1717
Fax
(205) 640-4902
NPI assigned
Nov 6, 2019
Last updated
Nov 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Authorized official

Name
Tamie Smith
Title
Bus Admin
Phone
(205) 640-1717

Specialties & licenses 1

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

Addresses

Primary practice location

2323 Moody Pkwy
Moody, AL 35004-3012

Mailing address

2323 Moody Pkwy
Moody, AL 35004-3012
Phone (205) 640-1717

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572998400000",
    "number": "1083258651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 MOODY PKWY",
            "city": "MOODY",
            "state": "AL",
            "postal_code": "350043012",
            "telephone_number": "205-640-1717",
            "fax_number": "205-640-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 MOODY PKWY",
            "city": "MOODY",
            "state": "AL",
            "postal_code": "350043012",
            "telephone_number": "205-640-1717",
            "fax_number": "205-640-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGLE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TAMIE",
        "authorized_official_title_or_position": "BUS ADMIN",
        "authorized_official_telephone_number": "205-640-1717"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moody, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.