Active NPI
Over the Mountain Dentistry LLC
- Dental Clinic/Center
- Mountain BRK, AL
National Provider Identifier
1104435015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- OVER THE MOUNTAIN DENTISTRY LLC
- Practice address
- 3507 Rockcliff Cir
Mountain BRK, AL 35210-3030 - Phone
- (205) 238-0290
- NPI assigned
- Jul 27, 2020
- Last updated
- Sep 4, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Carter D Mitchell, DMD
- Title
- Owner
- Phone
- (205) 238-0290
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
3507 Rockcliff Cir
Mountain BRK, AL 35210-3030
Mailing address
2850 Cahaba Rd Ste 140
Mountain BRK, AL 35223-2345
Phone (205) 968-1296
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- General Practice Dentistry
- Mountain BRK, AL
- NPI 1790300424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725408000000",
"number": "1104435015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2850 CAHABA RD STE 140",
"city": "MOUNTAIN BRK",
"state": "AL",
"postal_code": "352232345",
"telephone_number": "205-968-1296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3507 ROCKCLIFF CIR",
"city": "MOUNTAIN BRK",
"state": "AL",
"postal_code": "352103030",
"telephone_number": "205-238-0290"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OVER THE MOUNTAIN DENTISTRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-27",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "CARTER",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "205-238-0290",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountain BRK, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.