NPIMap

Organization Active NPI

Isbell Dental Blue PC

  • General Practice Dentistry
  • Rainbow City, AL
National Provider Identifier
1417328378
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3678 Issued in AL
Legal business name
ISBELL DENTAL BLUE PC
Practice address
3228 Rainbow Dr
Rainbow City, AL 35906-5804
Phone
(256) 442-1797
NPI assigned
Oct 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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

Authorized official

Name
Dr. Gordon R Isbell III, DMD, PA
Title
President
Phone
(256) 547-3589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 3678 AL Primary

Addresses

Primary practice location

3228 Rainbow Dr
Rainbow City, AL 35906-5804

Mailing address

241 S 4TH St
Gadsden, AL 35901-4213
Phone (256) 547-3589

National Provider Directory

National Provider Directory

Locations

3228 Rainbow Dr
Rainbow City, AL 35906
Phone (256) 442-1797

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1417328378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 S 4TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359014213",
            "telephone_number": "256-547-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3228 RAINBOW DR",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359065804",
            "telephone_number": "256-442-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISBELL DENTAL BLUE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "ISBELL",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-547-3589",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD, PA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rainbow City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.