NPIMap

Organization Active NPI

Jefferson County Board of Health

Doing business as Western Dental

  • Public Health or Welfare Agency
  • Midfield, AL
National Provider Identifier
1356417935
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
JEFFERSON COUNTY BOARD OF HEALTH
Doing business as
Western Dental
Practice address
631 Bessemer Super Hwy
Midfield, AL 35228
Phone
(205) 241-5277
Fax
(205) 241-5275
NPI assigned
Nov 27, 2006
Last updated
Feb 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Authorized official

Name
Shewanda Clark
Title
Revenue Integrity Supervisor
Phone
(205) 558-2158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

631 Bessemer Super Hwy
Midfield, AL 35228

Mailing address

PO Box 2648
Birmingham, AL 35202-2648
Phone (205) 241-5277

Other identifiers 1

IdentifierTypeStateIssuer
529917460MedicaidAL

Other names 1

  • Western Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jefferson County Board of Health16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1356417935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2648",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352022648",
            "telephone_number": "205-241-5277",
            "fax_number": "205-241-5275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 BESSEMER SUPER HWY",
            "city": "MIDFIELD",
            "state": "AL",
            "postal_code": "35228",
            "telephone_number": "205-241-5277",
            "fax_number": "205-241-5275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "SHEWANDA",
        "authorized_official_title_or_position": "REVENUE INTEGRITY SUPERVISOR",
        "authorized_official_telephone_number": "205-558-2158"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529917460",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Western Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midfield, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.