Flynt Gilbert Purvis, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

5607 Issued in AL

Practice address

2401 Dolly Ridge Rd
Vestavia, AL 35243-4609

Phone

(205) 983-8980

Fax

(205) 983-8982

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Otm Pediatric Dentistry, LLC

  • Pediatric Dentistry
  • Vestavia Hills, AL
  • NPI 1801423280
  NPD Authorized official
• Purvis Dentistry, PC

  • Pediatric Dentistry
  • Vestavia, AL
  • NPI 1043504046
  NPD (past) Authorized official

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1306055801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 DOLLY RIDGE RD",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352434609",
            "telephone_number": "205-983-8980",
            "fax_number": "205-983-8982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 DOLLY RIDGE RD",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352434609",
            "telephone_number": "205-983-8980",
            "fax_number": "205-983-8982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURVIS",
        "first_name": "FLYNT",
        "middle_name": "GILBERT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN013180",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "5607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "355630",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Sheedy Promer, MS
• Matthew Prosch
• Gary Robin Pruitt Jr., D.M.D.
• Publix Alabama LLC
• Purvis Dentistry, PC
• Puzzle Piece LLC
• R.David Roden, Jr.,DMD, MD, PC
• R.David Roden, Jr.,DMD,MD,PC
• Ruby Brianna Ramirez-Barnett
• Elaine G. Rasco, LPC-S

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.