NPIMap

Organization Active NPI

Stonecreek Dental of Alabama

  • Dental Clinic/Center
  • Morris, AL
National Provider Identifier
1205596509
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
STONECREEK DENTAL OF ALABAMA
Practice address
8301 Highway 31 N Ste 109
Morris, AL 35116-1301
Phone
(205) 647-2050
NPI assigned
Dec 28, 2021
Last updated
Dec 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Authorized official

Name
Veronica Jackson
Title
Revenue Cycle Manager
Phone
(205) 538-5464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

8301 Highway 31 N Ste 109
Morris, AL 35116-1301

Mailing address

8301 Highway 31 N Ste 109
Morris, AL 35116-1301
Phone (205) 647-2050

Other identifiers 1

IdentifierTypeStateIssuer
000000OtherNONE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address veronicajackson@stonecreekdentalcare.com

National Provider Directory

National Provider Directory
Tax ID family
Stonecreek Dental of Alabama26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1205596509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 HIGHWAY 31 N STE 109",
            "city": "MORRIS",
            "state": "AL",
            "postal_code": "351161301",
            "telephone_number": "205-647-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 HIGHWAY 31 N STE 109",
            "city": "MORRIS",
            "state": "AL",
            "postal_code": "351161301",
            "telephone_number": "205-647-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONECREEK DENTAL OF ALABAMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "205-538-5464"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "000000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "veronicajackson@stonecreekdentalcare.com",
            "affiliation": "N",
            "address_1": "8301 Highway 31 N Ste 109",
            "city": "Morris",
            "state": "AL",
            "country_code": "US",
            "postal_code": "351161301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morris, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.