NPIMap

Organization Active NPI

Dental Associates of Jones Valley LLC

  • Dentist
  • Huntsville, AL
National Provider Identifier
1376004002
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DENTAL ASSOCIATES OF JONES VALLEY LLC
Practice address
2124 Cecil Ashburn Dr SE Ste 130
Huntsville, AL 35802-2575
Phone
(256) 429-9220
Fax
(256) 429-9484
NPI assigned
Mar 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Authorized official

Name
Mrs. Terri S Wrenn
Title
Administrative
Phone
(256) 353-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2124 Cecil Ashburn Dr SE Ste 130
Huntsville, AL 35802-2575

Mailing address

2124 Cecil Ashburn Dr SE Ste 130
Huntsville, AL 35802-2575
Phone (256) 429-9220

Other names 1

  • Shedd Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2124 Cecil Ashburn Dr SE
Ste 130
Huntsville, AL 35802
Phone (256) 429-9220

NPI Registry JSON

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1376004002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 CECIL ASHBURN DR SE STE 130",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358022575",
            "telephone_number": "256-429-9220",
            "fax_number": "256-429-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 CECIL ASHBURN DR SE STE 130",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358022575",
            "telephone_number": "256-429-9220",
            "fax_number": "256-429-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOCIATES OF JONES VALLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "WRENN",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATIVE",
        "authorized_official_telephone_number": "256-353-5600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shedd Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.