Organization Active NPI

Dr. Clark Thomas, PC

  • Dental Clinic/Center
  • Birmingham, AL
National Provider Identifier
1346769114
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5122 Issued in AL
Legal business name
DR. CLARK THOMAS, PC
Practice address
721 Montclair Rd
Birmingham, AL 35213-1905
Phone
(205) 879-6150
Fax
(205) 380-3406
NPI assigned
Sep 13, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Tracy Saldana
Title
Financial Coordinator
Phone
(205) 879-6150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5122 AL Primary

Addresses

Primary practice location

721 Montclair Rd
Birmingham, AL 35213-1905

Mailing address

721 Montclair Rd
Birmingham, AL 35213-1905
Phone (205) 879-6150

National Provider Directory

National Provider Directory

Locations

721 Montclair Rd
Birmingham, AL 35213
Phone (205) 879-6150

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": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1346769114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 MONTCLAIR RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131905",
            "telephone_number": "205-879-6150",
            "fax_number": "205-380-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 MONTCLAIR RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131905",
            "telephone_number": "205-879-6150",
            "fax_number": "205-380-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CLARK THOMAS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SALDANA",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "205-879-6150"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "5122",
            "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 Jul 21, 2022; 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.