NPIMap

Organization Active NPI

Moulthrop&Parker DMD PC

  • General Practice Dentistry
  • Dothan, AL
National Provider Identifier
1235554809
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2529 Issued in AL
Legal business name
MOULTHROP&PARKER DMD PC
Practice address
2431 W Main St Ste 601
Dothan, AL 36301-1270
Phone
(334) 793-3651
NPI assigned
Feb 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Authorized official

Name
Dr. Charles Moulthrop, D.M.DNPI 1922189984
Title
Owner
Phone
(334) 793-3651

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 2529 AL Primary

Addresses

Primary practice location

2431 W Main St Ste 601
Dothan, AL 36301-1270

Mailing address

2431 W Main St Ste 601
Dothan, AL 36301-1270
Phone (334) 793-3651

National Provider Directory

National Provider Directory

Locations

2431 W Main St
Ste 601
Dothan, AL 36301
Phone (334) 793-3651

Practitioners & affiliated clinicians

Practitioners 3

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": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1235554809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 W MAIN ST STE 601",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363011270",
            "telephone_number": "334-793-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 W MAIN ST STE 601",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363011270",
            "telephone_number": "334-793-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOULTHROP&PARKER DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "MOULTHROP",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-793-3651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "2529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.