NPIMap

Organization Active NPI

Acipco Dental Group, Inc

  • General Practice Dentistry
  • Birmingham, AL
National Provider Identifier
1346596715
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5213 Issued in AL
Legal business name
ACIPCO DENTAL GROUP, INC
Practice address
3200 16TH St N
Birmingham, AL 35207-4202
Phone
(205) 325-7004
Fax
(205) 325-1976
NPI assigned
Aug 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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

Authorized official

Name
Dr. Nathaniel Redmond, DMD
Title
President
Phone
(205) 325-7004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5213 AL Primary

Addresses

Primary practice location

3200 16TH St N
Birmingham, AL 35207-4202

Mailing address

P.O. Box 12725
Birmingham, AL 35202-2725
Phone (205) 325-7004

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1346596715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 12725",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352022725",
            "telephone_number": "205-325-7004",
            "fax_number": "205-325-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 16TH ST N",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352074202",
            "telephone_number": "205-325-7004",
            "fax_number": "205-325-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACIPCO DENTAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "REDMOND",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-325-7004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.