NPIMap

Organization Active NPI

Skyline Family Dental Care PC

  • General Practice Dentistry
  • Mobile, AL
National Provider Identifier
1376612200
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SKYLINE FAMILY DENTAL CARE PC
Practice address
3977 Burma Road
Mobile, AL 36693
Phone
(251) 666-0576
Fax
(251) 666-0571
NPI assigned
Nov 7, 2006
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
Dr. David Christian Salter, DMDNPI 1285703116
Title
President Dentist
Phone
(251) 666-0576

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X AL Primary

Addresses

Primary practice location

3977 Burma Road
Mobile, AL 36693

Mailing address

3977 Burma Road
Mobile, AL 36693
Phone (251) 666-0576

National Provider Directory

National Provider Directory

Locations

3977 Burma Rd
Mobile, AL 36693
Phone (251) 666-0576

3977 Burma Rd
#A
Mobile, AL 36693
Phone (251) 666-0576

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376612200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3977 BURMA ROAD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36693",
            "telephone_number": "251-666-0576",
            "fax_number": "251-666-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3977 BURMA ROAD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36693",
            "telephone_number": "251-666-0576",
            "fax_number": "251-666-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE FAMILY DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SALTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "PRESIDENT DENTIST",
        "authorized_official_telephone_number": "251-666-0576",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, 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.