NPIMap

Organization Active NPI

DDS

  • Pain Clinic/Center
  • Birmingham, AL
National Provider Identifier
1134529308
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
17883 Issued in AL
Legal business name
DDS
Practice address
2650 Rocky Ridge LN
Birmingham, AL 35216-4810
Phone
(205) 989-2328
NPI assigned
Aug 25, 2014
Last updated
Aug 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Authorized official

Name
Dr. Robert Gunter Haas, M.D.NPI 1023418027
Title
Physician
Phone
(205) 989-2328

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X 17883 AL Primary

Addresses

Primary practice location

2650 Rocky Ridge LN
Birmingham, AL 35216-4810

Mailing address

113 Camellia Dr
Mountain BRK, AL 35213-2534
Phone (205) 871-5528

National Provider Directory

National Provider Directory
Tax ID family
Az Trans456 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 4

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1134529308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CAMELLIA DR",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352132534",
            "telephone_number": "205-871-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 ROCKY RIDGE LN",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352164810",
            "telephone_number": "205-989-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-25",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "HAAS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GUNTER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "205-989-2328",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "AL",
            "license": "17883",
            "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 25, 2014; 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.