NPIMap

Organization Active NPI

LD-Vestavia Hills, LLC

  • Dental Clinic/Center
  • Vestavia, AL
National Provider Identifier
1265024616
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LD-VESTAVIA HILLS, LLC
Practice address
2496 Rocky Ridge Rd
Vestavia, AL 35243-2850
Phone
(205) 822-6669
Fax
(662) 586-2995
NPI assigned
Feb 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Authorized official

Name
Lauren S Daigneault, BA, MA
Title
Admin Director
Phone
(256) 783-9468

Specialties & licenses 1

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

Addresses

Primary practice location

2496 Rocky Ridge Rd
Vestavia, AL 35243-2850

Mailing address

2496 Rocky Ridge Rd
Vestavia, AL 35243-2850
Phone (205) 822-6669

Other names 1

  • Vestavia Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1265024616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2496 ROCKY RIDGE RD",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352432850",
            "telephone_number": "205-822-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2496 ROCKY RIDGE RD",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352432850",
            "telephone_number": "205-822-6669",
            "fax_number": "662-586-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LD-VESTAVIA HILLS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-08",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "DAIGNEAULT",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMIN DIRECTOR",
        "authorized_official_telephone_number": "256-783-9468",
        "authorized_official_credential": "BA, MA"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vestavia Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vestavia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.