NPIMap

Organization Active NPI

Derek J Doss DMD LLC

Doing business as Doss Dental

  • Exclusive Provider Organization
  • Calera, AL
National Provider Identifier
1336456771
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
5765 Issued in AL
Legal business name
DEREK J DOSS DMD LLC
Doing business as
Doss Dental
Practice address
90 Marketplace Cir
Suite a
Calera, AL 35040-8200
Phone
(205) 238-1345
NPI assigned
Sep 7, 2010
Last updated
Sep 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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

Authorized official

Name
Dr. Derek DossNPI 1801116454
Title
Member Manager
Phone
(205) 238-1345

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 5765 AL Primary

Addresses

Primary practice location

90 Marketplace Cir
Suite a
Calera, AL 35040-8200

Mailing address

56 Calera Market Place Circle
Calera, AL 35040

Other names 1

  • Doss Dental Doing business as

National Provider Directory

National Provider Directory

Locations

56 Marketplace Cir
Calera, AL 35040

90 Marketplace Cir
Ste A
Calera, AL 35040
Phone (205) 238-1345

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": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283817600000",
    "number": "1336456771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 CALERA MARKET PLACE CIRCLE",
            "city": "CALERA",
            "state": "AL",
            "postal_code": "35040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MARKETPLACE CIR",
            "address_2": "SUITE A",
            "city": "CALERA",
            "state": "AL",
            "postal_code": "350408200",
            "telephone_number": "205-238-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEREK J DOSS DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2010-09-07",
        "status": "A",
        "authorized_official_last_name": "DOSS",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "205-238-1345",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "AL",
            "license": "5765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doss Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Calera, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.