NPIMap

Organization Active NPI

William M Colburn DMD PC

  • Dental Clinic/Center
  • Northport, AL
National Provider Identifier
1164035341
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WILLIAM M COLBURN DMD PC
Practice address
2810 20TH Ave Ste a
Northport, AL 35476-3835
Phone
(205) 339-1777
NPI assigned
Aug 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Authorized official

Name
Dr. William Manley Colburn, DMDNPI 1275617680
Title
Dentist
Phone
(205) 339-1777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2810 20TH Ave Ste a
Northport, AL 35476-3835

Mailing address

2810 20TH Ave Ste a
Northport, AL 35476-3835
Phone (205) 339-1777

National Provider Directory

National Provider Directory

Locations

2810 20th Ave
#A
Northport, AL 35476
Phone (205) 339-1777

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1164035341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 20TH AVE STE A",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354763835",
            "telephone_number": "205-339-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 20TH AVE STE A",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354763835",
            "telephone_number": "205-339-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM M COLBURN DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "COLBURN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MANLEY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "205-339-1777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.