NPIMap

Organization Active NPI

Dr. Keith Dillard DMD, PC

  • General Practice Dentistry
  • Pelham, AL
National Provider Identifier
1376882043
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3931 Issued in AL
Legal business name
DR. KEITH DILLARD DMD, PC
Practice address
9108 Helena Rd
Pelham, AL 35124-2739
Phone
(205) 988-4530
Fax
(205) 988-8140
NPI assigned
Jan 31, 2013
Last updated
Jan 31, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Authorized official

Name
Dr. Keith Allan DillardNPI 1164525374
Title
Owner
Phone
(205) 988-4530

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 Dentistry 1223G0001X 3931 AL Primary

Addresses

Primary practice location

9108 Helena Rd
Pelham, AL 35124-2739

Mailing address

9108 Helena Rd
Pelham, AL 35124-2739
Phone (205) 988-4530

National Provider Directory

National Provider Directory

Locations

9108 Helena Rd
Pelham, AL 35124
Phone (205) 988-4530

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": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1376882043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9108 HELENA RD",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351242739",
            "telephone_number": "205-988-4530",
            "fax_number": "205-988-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9108 HELENA RD",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351242739",
            "telephone_number": "205-988-4530",
            "fax_number": "205-988-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KEITH DILLARD DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "DILLARD",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-988-4530",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.