Organization Active NPI

Jebeles Endodontics, PC

  • Dental Clinic/Center
  • Birmingham, AL
National Provider Identifier
1134705478
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JEBELES ENDODONTICS, PC
Practice address
4647 Highway 280 Ste E
Birmingham, AL 35242-5032
Phone
(205) 980-8777
Fax
(205) 408-2965
NPI assigned
Mar 18, 2021
Last updated
Mar 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Authorized official

Name
Lisa R Cooke
Title
Office Manager
Phone
(205) 980-8777

Specialties & licenses 1

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

Addresses

Primary practice location

4647 Highway 280 Ste E
Birmingham, AL 35242-5032

Mailing address

4647 Highway 280 Ste E
Birmingham, AL 35242-5032
Phone (120) 598-0877

National Provider Directory

National Provider Directory

Locations

4647 Highway 280
Ste E
Birmingham, AL 35242
Phone (205) 980-8777

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": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1134705478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4647 HIGHWAY 280 STE E",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425032",
            "telephone_number": "120-598-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4647 HIGHWAY 280 STE E",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425032",
            "telephone_number": "205-980-8777",
            "fax_number": "205-408-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEBELES ENDODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "205-980-8777"
    },
    "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 Mar 22, 2021; 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.