NPIMap

Organization Active NPI

Magnolia Dental Care PC

  • Dental Clinic/Center
  • Mobile, AL
National Provider Identifier
1386032951
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5434 Issued in AL
Legal business name
MAGNOLIA DENTAL CARE PC
Practice address
720 Oak Circle Dr W Ste 400
Mobile, AL 36609-4252
Phone
(251) 666-8904
Fax
(251) 666-8905
NPI assigned
Jan 5, 2015
Last updated
Jan 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Authorized official

Name
Dr. Nilsson Alan Stokes, D.M.D.NPI 1366537821
Title
Owner
Phone
(251) 666-8904

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 5434 AL Primary

Addresses

Primary practice location

720 Oak Circle Dr W Ste 400
Mobile, AL 36609-4252

Mailing address

720 Oak Circle Dr W Ste 400
Mobile, AL 36609-4252
Phone (251) 666-8904

National Provider Directory

National Provider Directory

Locations

720 Oak Circle Dr W
Ste 400
Mobile, AL 36609
Phone (251) 666-8904

Practitioners & affiliated clinicians

Practitioners 2

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": "1420416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1386032951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 OAK CIRCLE DR W STE 400",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366094252",
            "telephone_number": "251-666-8904",
            "fax_number": "251-666-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 OAK CIRCLE DR W STE 400",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366094252",
            "telephone_number": "251-666-8904",
            "fax_number": "251-666-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-05",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "STOKES",
        "authorized_official_first_name": "NILSSON",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-666-8904",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "5434",
            "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 Jan 5, 2015; 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.