Individual provider Active NPI

Richard H Real Jr., D.M.D.

  • Dentist
  • Hoover, AL
National Provider Identifier
1396180667
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2931 Issued in AL
Practice address
2161 Clearbrook Rd
Hoover, AL 35226-1520
Phone
(205) 823-2577
Fax
(205) 823-2585
NPI assigned
May 1, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2931 AL Primary

Addresses

Primary practice location

2161 Clearbrook Rd
Hoover, AL 35226-1520

Mailing address

2161 Clearbrook Rd
Hoover, AL 35226-1520
Phone (205) 823-2577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2931ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bluff Park Dental PLLC PastSince Jun 18, 2023 Accepting new patients
Richard H Real. Jr., D.M.D., P.a. Dentist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1396180667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 CLEARBROOK RD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352261520",
            "telephone_number": "205-823-2577",
            "fax_number": "205-823-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 CLEARBROOK RD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352261520",
            "telephone_number": "205-823-2577",
            "fax_number": "205-823-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAL",
        "first_name": "RICHARD",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "2931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

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