North Shelby Dental Studio

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4292 Issued in AL

Legal business name

NORTH SHELBY DENTAL STUDIO

Practice address

2000 Southlake Park
Suite 250
Hoover, AL 35244-3616

Phone

(205) 278-3316

NPI assigned

May 27, 2014

Organization subpart

No

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

Authorized official

Name

Dr. David W Cowan, DMD

Title

Owner/Dentist

Phone

(205) 278-3316

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1184036154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SOUTHLAKE PARK",
            "address_2": "SUITE 250",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443616",
            "telephone_number": "205-278-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SOUTHLAKE PARK",
            "address_2": "SUITE 250",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443616",
            "telephone_number": "205-278-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHELBY DENTAL STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "205-278-3316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51091025",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Ciara Nichols, LPC
• Nicholson Physical Therapy, LLC
• Regan G Nodjomian, DPT
• Jeffrey Clay Nolen, PHARMD
• Max Keith Norman Jr., PHARMD
• North Shelby Psychiatric Services, Inc.
• Elliott Norton, DPT
• Emme Lane Novoa, FNP
• Nuevo Camino Counseling LLC
• Nursing Solutions, Inc.

• General Practice Dentistry in Hoover, AL
• Providers in Hoover, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.