Island Orthodontics Mobile

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

ISLAND ORTHODONTICS MOBILE

Practice address

4720 Aiport Blvd
Suite B
Mobile, AL 36608

Phone

(251) 344-7604

NPI assigned

May 20, 2024

Organization subpart

No

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

Authorized official

Name

Renee Dyken, DMDNPI 1962533174

Title

Owner/Orthdontist

Phone

(251) 223-3896

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Renee Allen Dyken, D.M.D., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Gulf Shores, AL
  • NPI 1962533174
  NPD Authorized official

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1083453278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 AIPORT BLVD",
            "address_2": "SUITE B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36608",
            "telephone_number": "251-344-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 AIPORT BLVD",
            "address_2": "SUITE B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36608",
            "telephone_number": "251-344-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND ORTHODONTICS MOBILE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "DYKEN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "OWNER/ORTHDONTIST",
        "authorized_official_telephone_number": "251-223-3896",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane S. Irwin, CRSS
• Isabine Inc. (ATC Healthcare)
• Daniel Francisco Isaza Pierotti
• Danielle Rachel Isen, D.O.
• Margaret E. Ishee, CRNA
• Adolph Isom, MD
• Robert Willis Israel, M.D.
• Ahmer Israr, DO
• Heather Jean Ivey
• Jessica Rhiannon Ivey, LAC

• Orthodontics and Dentofacial Orthopedics Dentistry in Mobile, AL
• Providers in Mobile, AL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.