Organization Active NPI

Arlington Dentistry PC

  • Dentist
  • Madison, AL
National Provider Identifier
1356443709
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
AL4792 Issued in AL
Legal business name
ARLINGTON DENTISTRY PC
Practice address
119 Arlington Drive
Madison, AL 35758
Phone
(256) 461-4184
Fax
(256) 461-7892
NPI assigned
Sep 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Shanaz S Iranmanesh, DMD
Title
Owner Dentist President
Phone
(256) 461-4184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X AL4792 AL Primary

Addresses

Primary practice location

119 Arlington Drive
Madison, AL 35758

Mailing address

108 Sanoma Dr
Madison, AL 35758
Phone (256) 772-6855

Other names 1

  • Shanaz Iranmanesh DMD Other name

National Provider Directory

National Provider Directory

Locations

119 Arlington Dr
Madison, AL 35758
Phone (256) 337-1147

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": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356443709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 SANOMA DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "35758",
            "telephone_number": "256-772-6855",
            "fax_number": "256-461-7892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 ARLINGTON DRIVE",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "35758",
            "telephone_number": "256-461-4184",
            "fax_number": "256-461-7892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLINGTON DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IRANMANESH",
        "authorized_official_first_name": "SHANAZ",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER DENTIST PRESIDENT",
        "authorized_official_telephone_number": "256-461-4184",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "AL4792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shanaz Iranmanesh DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.