Active NPI
Dentistry for Children PC
- Pediatric Dentistry
- Montgomery, AL
National Provider Identifier
1275769986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- DENTISTRY FOR CHILDREN PC
- Practice address
- 5833 Carmichael Rd
Montgomery, AL 36117 - Phone
- (334) 277-6830
- Fax
- (334) 270-2073
- NPI assigned
- Jun 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Julia E Isherwood, DMD
- Title
- Officer Owner
- Phone
- (334) 277-6830
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
5833 Carmichael Rd
Montgomery, AL 36117
Mailing address
5833 Carmichael Rd
Montgomery, AL 36117-2329
Phone (334) 277-6830
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 528302460 | Medicaid | AL |
National Provider Directory
National Provider DirectoryLocations
7047 Halcyon Summit Dr
Montgomery, AL 36117
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Montgomery, AL
- NPI 1245434125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1244505600000",
"number": "1275769986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5833 CARMICHAEL RD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361172329",
"telephone_number": "334-277-6830",
"fax_number": "334-270-2073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5833 CARMICHAEL RD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "36117",
"telephone_number": "334-277-6830",
"fax_number": "334-270-2073"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTISTRY FOR CHILDREN PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-09",
"last_updated": "2009-06-09",
"status": "A",
"authorized_official_last_name": "ISHERWOOD",
"authorized_official_first_name": "JULIA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OFFICER OWNER",
"authorized_official_telephone_number": "334-277-6830",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "528302460",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.