NPIMap

Organization Active NPI

Custom Dentures P.C.

  • Dentist
  • McCalla, AL
National Provider Identifier
1386916682
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5554 Issued in AL
Legal business name
CUSTOM DENTURES P.C.
Practice address
4817 McAdory School Road
Suite 105
McCalla, AL 35111-3452
Phone
(205) 428-0007
Fax
(205) 428-0085
NPI assigned
Feb 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Authorized official

Name
Ms. Carol D Hamilton
Title
Office Manager
Phone
(205) 428-0007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5554 AL Primary

Addresses

Primary practice location

4817 McAdory School Road
Suite 105
McCalla, AL 35111-3452

Mailing address

4817 McAdory School Rd
Suite 105
MC Calla, AL 35111-3452
Phone (205) 428-0007

National Provider Directory

National Provider Directory

Locations

4817 McAdory School Rd
Ste 105
Mc Calla, AL 35111
Phone (205) 428-0007

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": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1386916682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4817 MCADORY SCHOOL RD",
            "address_2": "SUITE 105",
            "city": "MC CALLA",
            "state": "AL",
            "postal_code": "351113452",
            "telephone_number": "205-428-0007",
            "fax_number": "205-428-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4817 MCADORY SCHOOL ROAD",
            "address_2": "SUITE 105",
            "city": "MCCALLA",
            "state": "AL",
            "postal_code": "351113452",
            "telephone_number": "205-428-0007",
            "fax_number": "205-428-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM DENTURES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "205-428-0007",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AL",
            "license": "5554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McCalla, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.