NPIMap

Organization Active NPI

Dental Care of Alabama LLC

Doing business as Cumberland Dental of Birmingham

  • Dental Clinic/Center
  • Birmingham, AL
National Provider Identifier
1285710889
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3077 Issued in AL
Legal business name
DENTAL CARE OF ALABAMA LLC
Doing business as
Cumberland Dental of Birmingham
Practice address
4500 Montevallo Rd
Suite B 105
Birmingham, AL 35210-3129
Phone
(205) 595-2273
Fax
(205) 595-2235
NPI assigned
Oct 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Crawford Glenn Badham, DMDNPI 1356443329
Title
President
Phone
(205) 595-2273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3077 AL Primary

Addresses

Primary practice location

4500 Montevallo Rd
Suite B 105
Birmingham, AL 35210-3129

Mailing address

4500 Montevallo Rd
Suite B 105
Birmingham, AL 35210-3129
Phone (205) 595-2273

Other names 1

  • Cumberland Dental of Birmingham Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cumberland Dental of Birmingham3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4500 Montevallo Rd
Ste B105
Irondale, AL 35210
Phone (205) 595-2273

Practitioners & affiliated clinicians

Practitioners 6

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": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285710889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 MONTEVALLO RD",
            "address_2": "SUITE B 105",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352103129",
            "telephone_number": "205-595-2273",
            "fax_number": "205-595-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 MONTEVALLO RD",
            "address_2": "SUITE B 105",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352103129",
            "telephone_number": "205-595-2273",
            "fax_number": "205-595-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CARE OF ALABAMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BADHAM",
        "authorized_official_first_name": "CRAWFORD",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-595-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "3077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cumberland Dental of Birmingham",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.