NPIMap

Organization Active NPI

Haleigh S. Blackwell, DMD, PC

Doing business as Pearly White Dentistry

  • Dentist
  • Vestavia, AL
National Provider Identifier
1174804058
Registry record updated Aug 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5852 Issued in AL
Legal business name
HALEIGH S. BLACKWELL, DMD, PC
Doing business as
Pearly White Dentistry
Practice address
3145 Green Valley Rd
Suite 101
Vestavia, AL 35243-5256
Phone
(205) 970-7292
Fax
(205) 623-3036
NPI assigned
Sep 6, 2011
Last updated
Aug 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2014

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

Authorized official

Name
Dr. Haleigh Stidham Blackwell, D.M.D.NPI 1417235870
Title
President
Phone
(205) 970-7292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5852 AL Primary

Addresses

Primary practice location

3145 Green Valley Rd
Suite 101
Vestavia, AL 35243-5256

Mailing address

3145 Green Valley Rd
Suite 101
Vestavia, AL 35243-5256
Phone (205) 970-7292

Other names 1

  • Pearly White Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1174804058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 GREEN VALLEY RD",
            "address_2": "SUITE 101",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352435256",
            "telephone_number": "205-970-7292",
            "fax_number": "205-623-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 GREEN VALLEY RD",
            "address_2": "SUITE 101",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352435256",
            "telephone_number": "205-970-7292",
            "fax_number": "205-623-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALEIGH S. BLACKWELL, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-06",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "HALEIGH",
        "authorized_official_middle_name": "STIDHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-970-7292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "5852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearly White Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vestavia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.