Individual provider Active NPI

Nathalie G Courington, DMD

  • General Practice Dentistry
  • Gardendale, AL
National Provider Identifier
1396238226
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6504 Issued in AL
Practice address
210 Fieldstown Rd Ste 120
Gardendale, AL 35071-2418
Phone
(205) 418-1069
NPI assigned
Jun 14, 2018
Last updated
Jul 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6504 AL Primary

Addresses

Primary practice location

210 Fieldstown Rd Ste 120
Gardendale, AL 35071-2418

Mailing address

210 Fieldstown Rd Ste 120
Gardendale, AL 35071-2418
Phone (205) 418-1069

Other names 1

  • Miss Nathalie M Gomez Leon Former name

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
6504ALMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Courington Dental Enterprises, LLC General Practice CurrentSince Jul 9, 2023 Accepting new patients

Locations

210 Fieldstown Rd
Ste 120
Gardendale, AL 35071
Phone (205) 418-1069

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1396238226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 FIELDSTOWN RD STE 120",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712418",
            "telephone_number": "205-418-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 FIELDSTOWN RD STE 120",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712418",
            "telephone_number": "205-418-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURINGTON",
        "first_name": "NATHALIE",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "6504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATHALIE",
            "last_name": "GOMEZ LEON",
            "middle_name": "M",
            "prefix": "MISS",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gardendale, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.