Organization Active NPI

Sam J Citrano Jr DMD PC

  • General Practice Dentistry
  • Huntsville, AL
National Provider Identifier
1295790079
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4772 Issued in AL
Legal business name
SAM J CITRANO JR DMD PC
Practice address
411 Holmes Ave NE
Huntsville, AL 35801-4142
Phone
(256) 534-7692
Fax
(256) 534-7692
NPI assigned
Apr 18, 2006
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. Sam J Citrano Jr., DMD
Title
Dentist/Owner
Phone
(256) 534-7692

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4772 AL Primary

Addresses

Primary practice location

411 Holmes Ave NE
Huntsville, AL 35801-4142

Mailing address

411 Holmes Ave NE
Huntsville, AL 35801-4142
Phone (256) 534-7692

National Provider Directory

National Provider Directory

Locations

411 Holmes Ave NE
Huntsville, AL 35801
Phone (256) 534-7692

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295790079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 HOLMES AVE NE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014142",
            "telephone_number": "256-534-7692",
            "fax_number": "256-534-7692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 HOLMES AVE NE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014142",
            "telephone_number": "256-534-7692",
            "fax_number": "256-534-7692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM J CITRANO JR DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CITRANO",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "256-534-7692",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, 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.