Organization Active NPI

Smart Dental Holdings, LLC

Doing business as Luma Dentistry Montevallo

  • General Practice Dentistry
  • Montevallo, AL
National Provider Identifier
1326527433
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SMART DENTAL HOLDINGS, LLC
Doing business as
Luma Dentistry Montevallo
Luma Dentistry-Montevallo
Practice address
980 Main St
Montevallo, AL 35115-3846
Phone
(205) 665-2031
Fax
(205) 665-5560
NPI assigned
Aug 9, 2018
Last updated
Jun 26, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
MCCALLA FAMILY DENTISTRY, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Authorized official

Name
Christie Knight
Title
Revenue Cycle Director
Phone
(205) 477-4242

Specialties & licenses 1

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

Addresses

Primary practice location

980 Main St
Montevallo, AL 35115-3846

Mailing address

5751 Pocahontas Rd Ste a
Bessemer, AL 35022-5478
Phone (205) 477-4242

Other names 2

  • Luma Dentistry Montevallo Doing business as
  • Luma Dentistry-Montevallo Doing business as

National Provider Directory

National Provider Directory
Tax ID family
McCalla Family Dentistry PC3 organizations share this tax ID, including this one
Part of
McCalla Family Dentistry PC

Other organizations with this tax ID 2

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

Locations

980 Main St
Montevallo, AL 35115
Phone (205) 665-2031

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1326527433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 POCAHONTAS RD STE A",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350225478",
            "telephone_number": "205-477-4242",
            "fax_number": "205-477-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 MAIN ST",
            "city": "MONTEVALLO",
            "state": "AL",
            "postal_code": "351153846",
            "telephone_number": "205-665-2031",
            "fax_number": "205-665-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART DENTAL HOLDINGS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCCALLA FAMILY DENTISTRY, PC",
        "enumeration_date": "2018-08-09",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "205-477-4242"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luma Dentistry Montevallo",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Luma Dentistry Montevallo",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Luma Dentistry-Montevallo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montevallo, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.