NPIMap

Organization Active NPI

Children'S Dentistry of Alabama

  • Pediatric Dentistry
  • Birmingham, AL
National Provider Identifier
1114390325
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
6049 Issued in AL
Legal business name
CHILDREN'S DENTISTRY OF ALABAMA
Practice address
6930 Cahaba Valley Rd
Suite 200
Birmingham, AL 35242-2672
Phone
(205) 613-6475
NPI assigned
Nov 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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

Authorized official

Name
Dr. Jeffrey Harris Flannery Jr., DDSNPI 1396185104
Title
Manager
Phone
(205) 613-6475

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 6049 AL Primary

Addresses

Primary practice location

6930 Cahaba Valley Rd
Suite 200
Birmingham, AL 35242-2672

Mailing address

6930 Cahaba Valley Rd
Suite 200
Birmingham, AL 35242-2672

Other names 1

  • Oak Mountain Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

6930 Cahaba Valley Rd
Ste 200
Hoover, AL 35242
Phone (205) 613-6475

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448841600000",
    "number": "1114390325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6930 CAHABA VALLEY RD",
            "address_2": "SUITE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6930 CAHABA VALLEY RD",
            "address_2": "SUITE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422672",
            "telephone_number": "205-613-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTISTRY OF ALABAMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-30",
        "status": "A",
        "authorized_official_last_name": "FLANNERY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "HARRIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "205-613-6475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "6049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Mountain Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; 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.