NPIMap

Organization Active NPI

Prosthodontics Dental Laboratory, Inc.

  • Dental Laboratory
  • Huntsville, AL
National Provider Identifier
1245407154
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental LaboratoryTaxonomy code 292200000X
License
001448 Issued in AL
Legal business name
PROSTHODONTICS DENTAL LABORATORY, INC.
Practice address
2227 Drake Ave SW
Suite 10E
Huntsville, AL 35805-5199
Phone
(256) 880-7414
NPI assigned
May 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Authorized official

Name
Mr. Robert S McCracken
Title
Owner/Manager
Phone
(256) 880-7414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Laboratory 292200000X 001448 AL Primary

Addresses

Primary practice location

2227 Drake Ave SW
Suite 10E
Huntsville, AL 35805-5199

Mailing address

2227 Drake Ave SW
Suite 10E
Huntsville, AL 35805-5199
Phone (256) 880-7414

National Provider Directory

National Provider Directory

Locations

2227 Drake Ave SW
Ste 10E
Huntsville, AL 35805
Phone (256) 880-7414

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1245407154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 DRAKE AVE SW",
            "address_2": "SUITE 10E",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358055199",
            "telephone_number": "256-880-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 DRAKE AVE SW",
            "address_2": "SUITE 10E",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358055199",
            "telephone_number": "256-880-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHODONTICS DENTAL LABORATORY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "MCCRACKEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "256-880-7414",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": "AL",
            "license": "001448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 9, 2008; 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.