Pediatric Dental Associates

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PEDIATRIC DENTAL ASSOCIATES

Practice address

404 S 5TH St
Gadsden, AL 35901-5102

Phone

(256) 546-4604

Fax

(256) 546-4674

NPI assigned

Nov 6, 2007

Last updated

Jun 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael A Holmes Sr., DDSNPI 1013005750

Title

President

Phone

(256) 546-4604

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Michael Holmes Sr., DMD

  • Pediatric Dentistry
  • Gadsden, AL
  • NPI 1013005750
  Authorized official Same address or phone

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1265612469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 S 5TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015102",
            "telephone_number": "256-546-4604",
            "fax_number": "256-546-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 S 5TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015102",
            "telephone_number": "256-546-4604",
            "fax_number": "256-546-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-546-4604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Leigh Payne, LPC, CAC
• Pearle Vision Center
• Sonya L Pearson
• Zerrin C Pearson, CRNA
• Demi Lee Peck, OTR/L
• Pediatric Dentistry East P.C.
• John C Peeden, CRNA
• Pegasus Emergency Group Gadsden, LLC
• Kathryn Peilen, MD
• Florencia Andrea Pereira Zigante, MD

• Pediatric Dentistry in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Pediatric Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.