Organization Active NPI

Dieguez-Marino Orthodontics P C

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Birmingham, AL
National Provider Identifier
1124104575
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
4224 Issued in AL
Legal business name
DIEGUEZ-MARINO ORTHODONTICS P C
Practice address
2800 Greystone Commercial Blvd
Suite 4-a
Birmingham, AL 35242-2667
Phone
(205) 980-4744
NPI assigned
Oct 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bertha Maria Dieguez-Marino, DMD
Title
Orthodontist
Phone
(205) 980-4744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 4224 AL Primary

Addresses

Primary practice location

2800 Greystone Commercial Blvd
Suite 4-a
Birmingham, AL 35242-2667

Mailing address

2072 Cahaba Crest Dr
Birmingham, AL 35242-4417
Phone (205) 980-4744

National Provider Directory

National Provider Directory

Locations

2800 Greystone Commercial Blvd
Ste 4A
Birmingham, AL 35242
Phone (205) 980-4744

NPI Registry JSON

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124104575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2072 CAHABA CREST DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424417",
            "telephone_number": "205-980-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 GREYSTONE COMMERCIAL BLVD",
            "address_2": "SUITE 4-A",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422667",
            "telephone_number": "205-980-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIEGUEZ-MARINO ORTHODONTICS P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIEGUEZ-MARINO",
        "authorized_official_first_name": "BERTHA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "205-980-4744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AL",
            "license": "4224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.