NPIMap

Organization Active NPI

Designer Smiles Dental Studio, P.C.

  • Dental Clinic/Center
  • Pike Road, AL
National Provider Identifier
1376833947
Registry record updated Apr 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5586 Issued in AL
Legal business name
DESIGNER SMILES DENTAL STUDIO, P.C.
Practice address
11123 Chantilly Pkwy CT
Suite I
Pike Road, AL 36064-2880
Phone
(334) 270-7751
Fax
(334) 270-7741
NPI assigned
Apr 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2011

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

Authorized official

Name
Dr. Jennifer Billingsley Richardson, D.M.D.NPI 1841475480
Title
Dr.
Phone
(334) 270-7751

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
Dental Clinic/Center 261QD0000X 5586 AL Primary

Addresses

Primary practice location

11123 Chantilly Pkwy CT
Suite I
Pike Road, AL 36064-2880

Mailing address

11123 Chantilly Pkwy CT
Suite I
Pike Road, AL 36064-2880
Phone (334) 270-7751

National Provider Directory

National Provider Directory

Locations

11123 Chantilly Pkwy Ct
Unit I
Pike Road, AL 36064
Phone (334) 270-7751

Practitioners & affiliated clinicians

Practitioners 1

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": "1302825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302825600000",
    "number": "1376833947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11123 CHANTILLY PKWY CT",
            "address_2": "SUITE I",
            "city": "PIKE ROAD",
            "state": "AL",
            "postal_code": "360642880",
            "telephone_number": "334-270-7751",
            "fax_number": "334-270-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11123 CHANTILLY PKWY CT",
            "address_2": "SUITE I",
            "city": "PIKE ROAD",
            "state": "AL",
            "postal_code": "360642880",
            "telephone_number": "334-270-7751",
            "fax_number": "334-270-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESIGNER SMILES DENTAL STUDIO, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-15",
        "last_updated": "2011-04-15",
        "status": "A",
        "authorized_official_last_name": "BILLINGSLEY RICHARDSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "334-270-7751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "5586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pike Road, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; 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.