NPIMap

Organization Active NPI

Liberty Park Children's Dentistry

  • Pediatric Dentistry
  • Vestavia HLS, AL
National Provider Identifier
1316453210
Registry record updated Dec 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
6278C Issued in AL
Legal business name
LIBERTY PARK CHILDREN'S DENTISTRY
Practice address
1950 Stonegate Dr Ste 100
Vestavia HLS, AL 35242-2525
Phone
(205) 403-5423
NPI assigned
Dec 14, 2017
Last updated
Dec 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2017

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

Authorized official

Name
Dr. Quyen Vu Ying, DMDNPI 1649432584
Title
Dentist
Phone
(205) 403-5423

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 6278C AL Primary

Addresses

Primary practice location

1950 Stonegate Dr Ste 100
Vestavia HLS, AL 35242-2525

Mailing address

3304 Marlboro Dr
Mountain BRK, AL 35223-2804

National Provider Directory

National Provider Directory

Locations

1950 Stonegate Dr
Ste 100
Vestavia Hls, AL 35242
Phone (205) 403-5423

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513209600000",
    "number": "1316453210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 MARLBORO DR",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 STONEGATE DR STE 100",
            "city": "VESTAVIA HLS",
            "state": "AL",
            "postal_code": "352422525",
            "telephone_number": "205-403-5423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY PARK CHILDREN'S DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-14",
        "last_updated": "2017-12-14",
        "status": "A",
        "authorized_official_last_name": "YING",
        "authorized_official_first_name": "QUYEN",
        "authorized_official_middle_name": "VU",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "205-403-5423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "6278C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia HLS, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.