NPIMap

Organization Active NPI

Knollwood Dental Group

  • Dental Clinic/Center
  • Mobile, AL
National Provider Identifier
1245407436
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3028 Issued in AL
Legal business name
KNOLLWOOD DENTAL GROUP
Practice address
5612 Cottage Hill Rd
Mobile, AL 36609-4211
Phone
(251) 666-3982
NPI assigned
May 15, 2008
Last updated
May 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Katie Marshall, R.D.H.
Title
Office Manager
Phone
(251) 666-3982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3028 AL Primary

Addresses

Primary practice location

5612 Cottage Hill Rd
Mobile, AL 36609-4211

Mailing address

5612 Cottage Hill Rd
Mobile, AL 36609-4211
Phone (251) 666-3982

National Provider Directory

National Provider Directory

Locations

5612 Cottage Hill Rd
Mobile, AL 36609
Phone (251) 666-3982

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1245407436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5612 COTTAGE HILL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366094211",
            "telephone_number": "251-666-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5612 COTTAGE HILL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366094211",
            "telephone_number": "251-666-3982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOLLWOOD DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "251-666-3982",
        "authorized_official_credential": "R.D.H."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "3028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.