Organization Active NPI

Fcdalt, LLC

  • General Practice Dentistry
  • Trussville, AL
National Provider Identifier
1316833353
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FCDALT, LLC
Practice address
1110 N Chalkville Rd Ste 164
Trussville, AL 35173-1063
Phone
(205) 235-1210
Fax
(205) 336-1151
NPI assigned
Jun 16, 2025
Organization subpart
Yes
Parent organization
SRUPTON, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Authorized official

Name
Shaheen Upton, DMD
Title
Owner
Phone
(205) 821-1976

Specialties & licenses 1

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

Addresses

Primary practice location

1110 N Chalkville Rd Ste 164
Trussville, AL 35173-1063

Mailing address

2757 Green Springs Hwy
Birmingham, AL 35209-4903
Phone (205) 874-9605

National Provider Directory

National Provider Directory
Part of
Srupton LLC

Locations

1110 N Chalkville Rd
Ste 164
Trussville, AL 35173
Phone (205) 235-1210

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1316833353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2757 GREEN SPRINGS HWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094903",
            "telephone_number": "205-874-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N CHALKVILLE RD STE 164",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351731063",
            "telephone_number": "205-235-1210",
            "fax_number": "205-336-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FCDALT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SRUPTON, LLC",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "UPTON",
        "authorized_official_first_name": "SHAHEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-821-1976",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trussville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.