NPIMap

Organization Active NPI

Vital Smiles Alabama, P. C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mobile, AL
National Provider Identifier
1205194297
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
3061 Issued in AL
Legal business name
VITAL SMILES ALABAMA, P. C.
Practice address
2727 Pleasant Valley Rd
Mobile, AL 36606-2162
Phone
(205) 271-6841
NPI assigned
Apr 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Authorized official

Name
Dr. George David Johnson, D.D.S.
Title
Owner
Phone
(205) 271-6841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 3061 AL Primary

Addresses

Primary practice location

2727 Pleasant Valley Rd
Mobile, AL 36606-2162

Mailing address

1900 Crestwood Blvd
Irondale, AL 35210-2034
Phone (205) 271-6841

National Provider Directory

National Provider Directory
Tax ID family
The Tooth Zone II Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1900 Crestwood Blvd
Irondale, AL 35210
Phone (205) 517-1150

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1205194297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CRESTWOOD BLVD",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352102034",
            "telephone_number": "205-271-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 PLEASANT VALLEY RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366062162",
            "telephone_number": "205-271-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL SMILES ALABAMA, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-271-6841",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AL",
            "license": "3061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.