Birmingham Pediatric Dental Care Associates

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

2693 Issued in AL

Legal business name

BIRMINGHAM PEDIATRIC DENTAL CARE ASSOCIATES

Practice address

1613 11TH Ave S
Birmingham, AL 35205-4703

Phone

(205) 933-1363

Fax

(205) 933-1365

NPI assigned

Feb 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Frederick B Smith, DMDNPI 1295835338

Title

President

Phone

(205) 933-1363

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frederick B Smith, DMD

  • Pediatric Dentistry
  • Birmingham, AL
  • NPI 1295835338
  NPD (past) Authorized official

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1366620155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 11TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054703",
            "telephone_number": "205-933-1363",
            "fax_number": "205-933-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 11TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054703",
            "telephone_number": "205-933-1363",
            "fax_number": "205-933-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRMINGHAM PEDIATRIC DENTAL CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-933-1363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "2693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Birmingham Nursing and Rehabilitation Center, LLC
• Birmingham Obstetrics Gynecology, P.C.
• Birmingham Outpatient Surgery Center LTD
• Birmingham Pain Management & Rehabilitation Centers, PC
• Birmingham Pediatric Assoc
• Birmingham Pet Imaging Inc
• Birmingham Physical Therapy & Sports Medicine Inc
• Birmingham Physicians Radiology PLLC
• Birmingham Plastic Surgery Clinic, PA
• Birmingham Podiatry PC

• All providers in Birmingham, AL
• Pediatric Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.