NPIMap

Organization Active NPI

Rocket City Kids Pediatric Dentistry, LLC

  • Dental Clinic/Center
  • Huntsville, AL
National Provider Identifier
1164844718
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
4127 Issued in AL
Legal business name
ROCKET CITY KIDS PEDIATRIC DENTISTRY, LLC
Practice address
1105 Gleneagles Dr SW
Huntsville, AL 35801-6405
Phone
(256) 882-2466
Fax
(256) 882-2402
NPI assigned
Jan 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Authorized official

Name
Dr. Whitney O. Shelton, D.D.S.NPI 1346469244
Title
Dentist
Phone
(256) 882-2466

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 4127 AL Primary

Addresses

Primary practice location

1105 Gleneagles Dr SW
Huntsville, AL 35801-6405

Mailing address

1105 Gleneagles Dr SW
Huntsville, AL 35801-6405
Phone (256) 882-2466

National Provider Directory

National Provider Directory

Locations

1105 Gleneagles Dr SW
Huntsville, AL 35801
Phone (256) 882-2466

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": "1389830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389830400000",
    "number": "1164844718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 GLENEAGLES DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016405",
            "telephone_number": "256-882-2466",
            "fax_number": "256-882-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 GLENEAGLES DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016405",
            "telephone_number": "256-882-2466",
            "fax_number": "256-882-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKET CITY KIDS PEDIATRIC DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-16",
        "last_updated": "2014-01-16",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "256-882-2466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "4127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.