NPIMap

Organization Active NPI

Cahaba Valley Pediatric Dentistry PC

  • Pediatric Dentistry
  • Birmingham, AL
National Provider Identifier
1174349047
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
CAHABA VALLEY PEDIATRIC DENTISTRY PC
Doing business as
Cahaba Valley Pediatric Dentistry
Practice address
141 Narrows Dr
Birmingham, AL 35242-8627
Phone
(205) 408-8889
NPI assigned
Nov 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
Cassie Wieth
Title
Payor Relations Manager
Phone
(623) 267-8121

Specialties & licenses 1

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

Addresses

Primary practice location

141 Narrows Dr
Birmingham, AL 35242-8627

Mailing address

141 Narrows Dr
Birmingham, AL 35242-8627
Phone (205) 408-8889

Other names 1

  • Cahaba Valley Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

141 Narrows Dr
Birmingham, AL 35242
Phone (205) 408-8889

Practitioners & affiliated clinicians

Practitioners 3

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": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1174349047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 NARROWS DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352428627",
            "telephone_number": "205-408-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 NARROWS DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352428627",
            "telephone_number": "205-408-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAHABA VALLEY PEDIATRIC DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "WIETH",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_title_or_position": "PAYOR RELATIONS MANAGER",
        "authorized_official_telephone_number": "623-267-8121"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cahaba Valley Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 25, 2024; 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.