NPIMap

Organization Active NPI

Smile Factory Wellness Dental Clinic Inc

  • Health Maintenance Organization
  • Meridianville, AL
National Provider Identifier
1396063434
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
DS4310 Issued in AL
Legal business name
SMILE FACTORY WELLNESS DENTAL CLINIC INC
Practice address
11808 Hwy 231 431 N
Meridianville, AL 35759-2126
Phone
(256) 828-1500
Fax
(256) 828-1515
NPI assigned
May 13, 2010
Last updated
May 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2010

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

Authorized official

Name
Dr. Ada L FrazierNPI 1124285416
Title
Owner
Phone
(256) 828-1500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X DS4310 AL Primary

Addresses

Primary practice location

11808 Hwy 231 431 N
Meridianville, AL 35759-2126

Mailing address

11808 Hwy 231 431 N
Meridianville, AL 35759-2126
Phone (256) 828-1500

National Provider Directory

National Provider Directory

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": "1273708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273708800000",
    "number": "1396063434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11808 HWY 231 431 N",
            "city": "MERIDIANVILLE",
            "state": "AL",
            "postal_code": "357592126",
            "telephone_number": "256-828-1500",
            "fax_number": "256-828-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11808 HWY 231 431 N",
            "city": "MERIDIANVILLE",
            "state": "AL",
            "postal_code": "357592126",
            "telephone_number": "256-828-1500",
            "fax_number": "256-828-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE FACTORY WELLNESS DENTAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-13",
        "last_updated": "2010-05-13",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "ADA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-828-1500",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "AL",
            "license": "DS4310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridianville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.