NPIMap

Organization Active NPI

Vein & Cosmetic Center of Prattville, LLC

  • Ambulatory Surgical Clinic/Center
  • Prattville, AL
National Provider Identifier
1407298920
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
280663 Issued in AL
Legal business name
VEIN & COSMETIC CENTER OF PRATTVILLE, LLC
Practice address
509 Pinnacle PL
Prattville, AL 36066-6544
Phone
(205) 823-0151
Fax
(205) 823-5218
NPI assigned
Jul 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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

Authorized official

Name
Dr. John R Kingsley
Title
President & Owner
Phone
(205) 823-0151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 280663 AL Primary

Addresses

Primary practice location

509 Pinnacle PL
Prattville, AL 36066-6544

Mailing address

700 Montgomery Hwy
Suite 210
Vestavia, AL 35216-1866
Phone (205) 823-0150

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1407298920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MONTGOMERY HWY",
            "address_2": "SUITE 210",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352161866",
            "telephone_number": "205-823-0150",
            "fax_number": "205-823-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 PINNACLE PL",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360666544",
            "telephone_number": "205-823-0151",
            "fax_number": "205-823-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN & COSMETIC CENTER OF PRATTVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-25",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "KINGSLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT & OWNER",
        "authorized_official_telephone_number": "205-823-0151",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AL",
            "license": "280663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prattville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.