NPIMap

Organization Active NPI

University of Alabama at Birmingham

  • Pediatric Dentistry
  • Birmingham, AL
National Provider Identifier
1144660945
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Practice address
1919 7TH Ave S
SDB Room 311
Birmingham, AL 35294-0007
Phone
(205) 934-7016
NPI assigned
Jun 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Authorized official

Name
Dr. Janice G. Jackson, D.M.D.
Title
Pediatric Dentistry Program Directo
Phone
(205) 934-1134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1919 7TH Ave S
SDB Room 311
Birmingham, AL 35294-0007

Mailing address

1919 7TH Ave S
SDB Room 311
Birmingham, AL 35233-2005
Phone (205) 934-7016

National Provider Directory

National Provider Directory

Locations

1919 7th Ave S
Rm 311
Birmingham, AL 35233
Phone (205) 934-7016

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1144660945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 7TH AVE S",
            "address_2": "SDB ROOM 311",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352332005",
            "telephone_number": "205-934-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 7TH AVE S",
            "address_2": "SDB ROOM 311",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352940007",
            "telephone_number": "205-934-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF ALABAMA AT BIRMINGHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PEDIATRIC DENTISTRY PROGRAM DIRECTO",
        "authorized_official_telephone_number": "205-934-1134",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "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 26, 2013; 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.