Organization Active NPI

Oxford Pediatric Dental Associates LLC

  • Pediatric Dentistry
  • Oxford, AL
National Provider Identifier
1225415771
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
OXFORD PEDIATRIC DENTAL ASSOCIATES LLC
Practice address
1409 Hamric Dr E
Oxford, AL 36203-1933
Phone
(205) 338-4227
Fax
(205) 338-5558
NPI assigned
May 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Authorized official

Name
Dr. Richard Baker Chambliss Jr., D.M.D
Title
Partner
Phone
(205) 338-4227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1409 Hamric Dr E
Oxford, AL 36203-1933

Mailing address

50 Cropwell Dr
Suite 1
Pell City, AL 35128-7552
Phone (205) 338-4227

National Provider Directory

National Provider Directory

Locations

1409 Hamric Dr E
Oxford, AL 36203
Phone (256) 285-1506

NPI Registry JSON

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1225415771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CROPWELL DR",
            "address_2": "SUITE 1",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351287552",
            "telephone_number": "205-338-4227",
            "fax_number": "205-338-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 HAMRIC DR E",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362031933",
            "telephone_number": "205-338-4227",
            "fax_number": "205-338-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXFORD PEDIATRIC DENTAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "CHAMBLISS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "BAKER",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "205-338-4227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.