Diamond Smiles Homewood

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DIAMOND SMILES HOMEWOOD

Practice address

112 Broadway St
Homewood, AL 35209-5312

Phone

(205) 847-1415

Fax

(205) 795-3499

NPI assigned

May 5, 2017

Organization subpart

No

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

Authorized official

Name

Edgar Luna

Title

President / Owner

Phone

(205) 847-1415

Specialties & licenses 1

Addresses

Other names 1

• Diamond Smiles Dentistry Doing business as

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493942400000",
    "number": "1144756461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 BROADWAY ST",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352095312",
            "telephone_number": "205-847-1415",
            "fax_number": "205-795-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 BROADWAY ST",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352095312",
            "telephone_number": "205-847-1415",
            "fax_number": "205-795-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND SMILES HOMEWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-05",
        "last_updated": "2017-05-05",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "205-847-1415"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diamond Smiles Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Homewood, AL
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• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.