Organization Active NPI

Sea Smiles, LLC

  • Pediatric Dentistry
  • Foley, AL
National Provider Identifier
1336518331
Registry record updated Sep 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
5789 Issued in AL
Legal business name
SEA SMILES, LLC
Practice address
825 N Alston St
Foley, AL 36535-3509
Phone
(251) 943-7575
NPI assigned
Sep 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2015

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

Authorized official

Name
Dr. Michael O'Neill Meador Jr., DMD
Title
Dentist
Phone
(850) 712-5024

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 5789 AL Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 5811 AL

Addresses

Primary practice location

825 N Alston St
Foley, AL 36535-3509

Mailing address

825 N Alston St
Foley, AL 36535-3509
Phone (251) 943-7575

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1442707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442707200000",
    "number": "1336518331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N ALSTON ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365353509",
            "telephone_number": "251-943-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N ALSTON ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365353509",
            "telephone_number": "251-943-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA SMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-20",
        "last_updated": "2015-09-20",
        "status": "A",
        "authorized_official_last_name": "MEADOR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "O'NEILL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "850-712-5024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "5789",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AL",
            "license": "5811",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foley, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2015; 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.