Organization Active NPI

Candid Alabama LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Birmingham, AL
National Provider Identifier
1396352464
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
CANDID ALABAMA LLC
Practice address
4000 Eagle Point Corporate Dr
Birmingham, AL 35242-1900
Phone
(860) 481-7631
NPI assigned
Sep 23, 2020
Last updated
Sep 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Authorized official

Name
Dr. Thomas Shannon, DDS
Title
Owner
Phone
(860) 481-7631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X Primary

Addresses

Primary practice location

4000 Eagle Point Corporate Dr
Birmingham, AL 35242-1900

Mailing address

44 W 28TH St FL 14
New York, NY 10001-4212
Phone (844) 295-6915

National Provider Directory

National Provider Directory

Locations

44 W 28th St
Fl 14
New York, NY 10001

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1396352464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 W 28TH ST FL 14",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014212",
            "telephone_number": "844-295-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 EAGLE POINT CORPORATE DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352421900",
            "telephone_number": "860-481-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDID ALABAMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-481-7631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.