Organization Active NPI

Jake R. Noel DMD LLC

  • Dentist
  • Huntsville, AL
National Provider Identifier
1104335140
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5757 Issued in AL
Legal business name
JAKE R. NOEL DMD LLC
Practice address
4004B Balmoral Dr SW
Huntsville, AL 35801-6402
Phone
(256) 883-0030
NPI assigned
Sep 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jake Robert Noel, DMD
Title
Owner/Dentist
Phone
(256) 883-0030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5757 AL Primary

Addresses

Primary practice location

4004B Balmoral Dr SW
Huntsville, AL 35801-6402

Mailing address

4004B Balmoral Dr SW
Huntsville, AL 35801-6402
Phone (256) 883-0030

National Provider Directory

National Provider Directory

Locations

4004 Balmoral Dr SW
Ste B
Huntsville, AL 35801
Phone (256) 658-6637

NPI Registry JSON

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104335140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004B BALMORAL DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016402",
            "telephone_number": "256-883-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004B BALMORAL DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016402",
            "telephone_number": "256-883-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAKE R. NOEL DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NOEL",
        "authorized_official_first_name": "JAKE",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "256-883-0030",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AL",
            "license": "5757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.