Organization Active NPI

Trussville Ortho LLC

Doing business as Brooks Ortho

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Trussville, AL
National Provider Identifier
1407651490
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
TRUSSVILLE ORTHO LLC
Doing business as
Brooks Ortho
Practice address
4643 Camp Coleman Rd Ste 101
Trussville, AL 35173-2838
Phone
(205) 537-3008
NPI assigned
Feb 14, 2025
Last updated
Feb 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Authorized official

Name
Kim Doss
Title
Operations Manager
Phone
(205) 222-1430

Specialties & licenses 1

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

Addresses

Primary practice location

4643 Camp Coleman Rd Ste 101
Trussville, AL 35173-2838

Mailing address

4643 Camp Coleman Rd Ste 101
Trussville, AL 35173-2838
Phone (205) 537-3008

Other names 1

  • Brooks Ortho Doing business as

National Provider Directory

National Provider Directory

Locations

4643 Camp Coleman Rd
Ste 101
Trussville, AL 35173
Phone (205) 537-3008

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": "1739491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1407651490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4643 CAMP COLEMAN RD STE 101",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351732838",
            "telephone_number": "205-537-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4643 CAMP COLEMAN RD STE 101",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351732838",
            "telephone_number": "205-537-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSSVILLE ORTHO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "DOSS",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "205-222-1430"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brooks Ortho",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trussville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.