NPIMap

Organization Active NPI

Hubert H. Parker IV DMD PC

  • General Practice Dentistry
  • Mobile, AL
National Provider Identifier
1104122779
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4597 Issued in AL
Legal business name
HUBERT H. PARKER IV DMD PC
Practice address
505 Georgian Dr Ste B
Mobile, AL 36609-3432
Phone
(251) 342-2324
Fax
(251) 342-2405
NPI assigned
Jan 31, 2011
Last updated
Jan 31, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Authorized official

Name
Mrs. Mandy Wallace
Title
Office Manager
Phone
(251) 342-2324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4597 AL Primary

Addresses

Primary practice location

505 Georgian Dr Ste B
Mobile, AL 36609-3432

Mailing address

505 Georgian Dr Ste B
Mobile, AL 36609-3432
Phone (251) 342-2324

National Provider Directory

National Provider Directory
Tax ID family
Hubert H Parker IV DMD PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

505 Georgian Dr
#B
Mobile, AL 36609
Phone (251) 342-2324

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": "1296432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1104122779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 GEORGIAN DR STE B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366093432",
            "telephone_number": "251-342-2324",
            "fax_number": "251-342-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 GEORGIAN DR STE B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366093432",
            "telephone_number": "251-342-2324",
            "fax_number": "251-342-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUBERT H. PARKER IV DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-31",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "251-342-2324",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; 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.