NPIMap

Organization Active NPI

Liberty Park Family Dentistry

  • Dental Clinic/Center
  • Vestavia, AL
National Provider Identifier
1124505599
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5514 Issued in AL
Legal business name
LIBERTY PARK FAMILY DENTISTRY
Practice address
8000 Liberty Pkwy Ste 126
Vestavia, AL 35242-7565
Phone
(205) 413-8116
NPI assigned
Jul 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Authorized official

Name
Dr. Andrea Nunes, DMDNPI 1982880324
Title
President
Phone
(205) 602-4533

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
Dental Clinic/Center 261QD0000X 5514 AL Primary

Addresses

Primary practice location

8000 Liberty Pkwy Ste 126
Vestavia, AL 35242-7565

Mailing address

3508 Springhill Rd
Mountain BRK, AL 35223-2013
Phone (205) 602-4533

National Provider Directory

National Provider Directory

Locations

8000 Liberty Pkwy
Ste 126
Vestavia, AL 35242
Phone (205) 413-8116

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": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1124505599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 SPRINGHILL RD",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232013",
            "telephone_number": "205-602-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 LIBERTY PKWY STE 126",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352427565",
            "telephone_number": "205-413-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY PARK FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "NUNES",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-602-4533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "5514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.