Organization Active NPI

Dental Concepts, LLC

  • Dental Clinic/Center
  • Montgomery, AL
National Provider Identifier
1356851323
Registry record updated Oct 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
4147 Issued in AL
Legal business name
DENTAL CONCEPTS, LLC
Practice address
4146 Carmichael Rd Ste a
Montgomery, AL 36106-3634
Phone
(334) 286-0896
Fax
(334) 286-8046
NPI assigned
Oct 4, 2017
Last updated
Oct 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2017

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

Authorized official

Name
David Manuel Cawley, DDSNPI 1457438285
Title
Dentist
Phone
(334) 286-0896

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 4147 AL Primary

Addresses

Primary practice location

4146 Carmichael Rd Ste a
Montgomery, AL 36106-3634

Mailing address

4146 Carmichael Rd Ste a
Montgomery, AL 36106-3634
Phone (334) 286-0896

Other identifiers 1

IdentifierTypeStateIssuer
1457438285MedicaidAL

National Provider Directory

National Provider Directory

Locations

4146 Carmichael Rd
Ste A
Montgomery, AL 36106
Phone (334) 286-0896

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": "1507075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507075200000",
    "number": "1356851323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4146 CARMICHAEL RD STE A",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063634",
            "telephone_number": "334-286-0896",
            "fax_number": "334-286-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4146 CARMICHAEL RD STE A",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063634",
            "telephone_number": "334-286-0896",
            "fax_number": "334-286-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CONCEPTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-04",
        "last_updated": "2017-10-04",
        "status": "A",
        "authorized_official_last_name": "CAWLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "334-286-0896",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "4147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457438285",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; 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.