Organization Active NPI

Flint River Dentistry LLC

Doing business as Flint River Dental

  • General Practice Dentistry
  • Huntsville, AL
National Provider Identifier
1215301700
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FLINT RIVER DENTISTRY LLC
Doing business as
Flint River Dental
Practice address
2130 Winchester Rd NE
Suite D
Huntsville, AL 35811
Phone
(256) 859-8066
Fax
(855) 259-1075
NPI assigned
Nov 20, 2015
Last updated
Dec 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Authorized official

Name
Paola Lopez
Title
Payor Enrollment Specialist Team Le
Phone
(972) 869-3789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2130 Winchester Rd NE
Suite D
Huntsville, AL 35811

Mailing address

2130 Winchester Rd NE
Suite D
Huntsville, AL 35811
Phone (256) 859-8066

Other names 1

  • Flint River Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2246 Winchester Rd NE
Ste 106
Huntsville, AL 35811
Phone (256) 859-8066

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": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1215301700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 WINCHESTER RD NE",
            "address_2": "SUITE D",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35811",
            "telephone_number": "256-859-8066",
            "fax_number": "855-259-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 WINCHESTER RD NE",
            "address_2": "SUITE D",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35811",
            "telephone_number": "256-859-8066",
            "fax_number": "855-259-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLINT RIVER DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "PAOLA",
        "authorized_official_title_or_position": "PAYOR ENROLLMENT SPECIALIST TEAM LE",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flint River Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.