NPIMap

Organization Active NPI

Phil Adams DMD

  • Dentist
  • Centreville, AL
National Provider Identifier
1124367529
Registry record updated Feb 5, 2013
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3209 Issued in AL
Legal business name
PHIL ADAMS DMD
Practice address
260 Walnut St
Centreville, AL 35042-2332
Phone
(205) 926-4697
Fax
(205) 926-4684
NPI assigned
Feb 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Authorized official

Name
Phil Adams, DMD
Title
Owner
Phone
(205) 926-4697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 3209 AL Primary

Addresses

Primary practice location

260 Walnut St
Centreville, AL 35042-2332

Mailing address

260 Walnut St
Centreville, AL 35042-2332
Phone (205) 926-4697

Other identifiers 1

IdentifierTypeStateIssuer
009986250MedicaidAL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1124367529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 WALNUT ST",
            "city": "CENTREVILLE",
            "state": "AL",
            "postal_code": "350422332",
            "telephone_number": "205-926-4697",
            "fax_number": "205-926-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 WALNUT ST",
            "city": "CENTREVILLE",
            "state": "AL",
            "postal_code": "350422332",
            "telephone_number": "205-926-4697",
            "fax_number": "205-926-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHIL ADAMS DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-926-4697",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AL",
            "license": "3209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009986250",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.