NPIMap

Organization Active NPI

Lee Redditt DMD, PLLC

  • Dental Clinic/Center
  • Theodore, AL
National Provider Identifier
1164096749
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LEE REDDITT DMD, PLLC
Practice address
5721 Highway 90 Ste a
Theodore, AL 36582-3601
Phone
(251) 653-1242
Fax
(251) 653-1242
NPI assigned
May 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Authorized official

Name
Mrs. Melissa G Underwood
Title
Office Manager
Phone
(251) 653-1300

Specialties & licenses 1

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

Addresses

Primary practice location

5721 Highway 90 Ste a
Theodore, AL 36582-3601

Mailing address

5721 Highway 90 Ste a
Theodore, AL 36582-3601
Phone (251) 653-1242

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL leereddittdmd@gmail.com Direct
CONNECT URL leereddittdmd@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

5721 Highway 90
Ste A
Theodore, AL 36582
Phone (251) 653-1300

Practitioners & affiliated clinicians

Practitioners 2

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": "1621296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1164096749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5721 HIGHWAY 90 STE A",
            "city": "THEODORE",
            "state": "AL",
            "postal_code": "365823601",
            "telephone_number": "251-653-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 HIGHWAY 90 STE A",
            "city": "THEODORE",
            "state": "AL",
            "postal_code": "365823601",
            "telephone_number": "251-653-1242",
            "fax_number": "251-653-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE REDDITT DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "251-653-1300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "leereddittdmd@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5721 Highway 90 Ste A",
            "city": "Theodore",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365823601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "leereddittdmd@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5721 Highway 90 Ste A",
            "city": "Theodore",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365823601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Theodore, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.