NPIMap

Organization Active NPI

Jennifer H. Pruitt DMD

  • Dentist
  • Anniston, AL
National Provider Identifier
1144470170
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5219 Issued in AL
Legal business name
JENNIFER H. PRUITT DMD
Practice address
6118 McClellan Blvd
Anniston, AL 36206-8403
Phone
(256) 820-4821
Fax
(256) 820-2219
NPI assigned
Sep 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

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

Authorized official

Name
Dr. Michael A. Pruitt, DMD
Title
Personal Representative of Estate
Phone
(256) 927-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5219 AL Primary

Addresses

Primary practice location

6118 McClellan Blvd
Anniston, AL 36206-8403

Mailing address

6118 McClellan Blvd
Anniston, AL 36206-8403
Phone (256) 820-4821

National Provider Directory

National Provider Directory

Locations

6118 McClellan Blvd
Anniston, AL 36206
Phone (256) 820-4821

NPI Registry JSON

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1144470170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6118 MCCLELLAN BLVD",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362068403",
            "telephone_number": "256-820-4821",
            "fax_number": "256-820-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6118 MCCLELLAN BLVD",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362068403",
            "telephone_number": "256-820-4821",
            "fax_number": "256-820-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER H. PRUITT DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PERSONAL REPRESENTATIVE OF ESTATE",
        "authorized_official_telephone_number": "256-927-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AL",
            "license": "5219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.