Organization Active NPI

Cox Creek Family Dentistry

  • General Practice Dentistry
  • Florence, AL
National Provider Identifier
1235247891
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5097 Issued in AL
Legal business name
COX CREEK FAMILY DENTISTRY
Practice address
721 Cox Creek Pkwy
Florence, AL 35630-1001
Phone
(256) 766-9700
Fax
(256) 766-0883
NPI assigned
Aug 25, 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. Jeremiah Johnson Stoddard, D.D.S.NPI 1639267578
Title
Partner
Phone
(256) 766-9700

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5097 AL Primary

Addresses

Primary practice location

721 Cox Creek Pkwy
Florence, AL 35630-1001

Mailing address

721 Cox Creek Pkwy
Florence, AL 35630-1001
Phone (256) 766-9700

National Provider Directory

National Provider Directory

Locations

721 Cox Creek Pkwy
Florence, AL 35630
Phone (256) 766-9700

Practitioners & affiliated clinicians

Practitioners 1

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": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235247891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 COX CREEK PKWY",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301001",
            "telephone_number": "256-766-9700",
            "fax_number": "256-766-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 COX CREEK PKWY",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301001",
            "telephone_number": "256-766-9700",
            "fax_number": "256-766-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COX CREEK FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STODDARD",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "256-766-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, 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.