Organization Active NPI

Halo Dental Atelier LLC

  • Dental Clinic/Center
  • Birmingham, AL
National Provider Identifier
1124917877
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HALO DENTAL ATELIER LLC
Practice address
201 18TH St S Unit 101
Birmingham, AL 35233-1875
Phone
(205) 701-4256
Fax
(205) 973-9966
NPI assigned
Jun 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Authorized official

Name
Dr. Valencia Barnes Jackson, DDS
Title
Owner
Phone
(334) 701-4256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

201 18TH St S Unit 101
Birmingham, AL 35233-1875

Mailing address

201 18TH St S Unit 101
Birmingham, AL 35233-1875
Phone (205) 701-4256

National Provider Directory

National Provider Directory

Locations

201 18th St S
Unit 101
Birmingham, AL 35233
Phone (205) 701-4256

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": "1751241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1124917877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 18TH ST S UNIT 101",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331875",
            "telephone_number": "205-701-4256",
            "fax_number": "205-973-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 18TH ST S UNIT 101",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331875",
            "telephone_number": "205-701-4256",
            "fax_number": "205-973-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALO DENTAL ATELIER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-29",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "VALENCIA",
        "authorized_official_middle_name": "BARNES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-701-4256",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "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 Jun 30, 2025; 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.