NPIMap

Organization Active NPI

James a Ryerson DMD and Mary Leigh Gillespie DMD PC LLC

  • Dentist
  • Muscle Shoals, AL
National Provider Identifier
1194803239
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2974 Issued in AL
Legal business name
JAMES A RYERSON DMD AND MARY LEIGH GILLESPIE DMD PC LLC
Practice address
1013 E Avalon Avenue
Muscle Shoals, AL 35661
Phone
(256) 381-2100
Fax
(256) 381-4844
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James A Ryerson, DMDNPI 1841458718
Title
Member Dentist
Phone
(256) 381-2100

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 2974 AL Primary

Addresses

Primary practice location

1013 E Avalon Avenue
Muscle Shoals, AL 35661

Mailing address

1013 E Avalon Avenue
Muscle Shoals, AL 35661
Phone (256) 381-2100

Other names 1

  • Cosmetic Dentistry of the Shoals Doing business as

National Provider Directory

National Provider Directory

Locations

1013 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 381-2100

Practitioners & affiliated clinicians

Practitioners 5

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": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194803239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 E AVALON AVENUE",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "35661",
            "telephone_number": "256-381-2100",
            "fax_number": "256-381-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 E AVALON AVENUE",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "35661",
            "telephone_number": "256-381-2100",
            "fax_number": "256-381-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES A RYERSON DMD AND MARY LEIGH GILLESPIE DMD PC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RYERSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER DENTIST",
        "authorized_official_telephone_number": "256-381-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AL",
            "license": "2974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cosmetic Dentistry of the Shoals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muscle Shoals, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.