Organization Active NPI

Secd Athens

  • Dental Clinic/Center
  • Athens, AL
National Provider Identifier
1235642893
Registry record updated Nov 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SECD ATHENS
Practice address
22051 Hwy 72 East
F
Athens, AL 35613-3561
Phone
(256) 262-0600
Fax
(256) 233-8499
NPI assigned
Nov 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2017

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

Authorized official

Name
Heather Brittany McDonald
Title
Regional Director
Phone
(205) 434-7115

Specialties & licenses 1

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

Addresses

Primary practice location

22051 Hwy 72 East
F
Athens, AL 35613-3561

Mailing address

4320 Montevallo Rd
Mountain BRK, AL 35213-2722
Phone (205) 434-7115

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509926400000",
    "number": "1235642893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 MONTEVALLO RD",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352132722",
            "telephone_number": "205-434-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22051 HWY 72 EAST",
            "address_2": "F",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356133561",
            "telephone_number": "256-262-0600",
            "fax_number": "256-233-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECD ATHENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-06",
        "last_updated": "2017-11-06",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "BRITTANY",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "205-434-7115"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; 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.