Active NPI
Secd Spring Hill Mobile
- Dental Clinic/Center
- Mobile, AL
National Provider Identifier
1427560077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- SECD SPRING HILL MOBILE
- Practice address
- 615 Shady Oak Dr
Mobile, AL 36608-5830 - Phone
- (251) 334-0364
- Fax
- (251) 341-1787
- NPI assigned
- Nov 3, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather Brittany McDonald
- Title
- Regional Director
- Phone
- (205) 434-7115
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
615 Shady Oak Dr
Mobile, AL 36608-5830
Mailing address
4320 Montevallo Rd
Mountain BRK, AL 35213-2722
Phone (205) 434-7115
National Provider Directory
National Provider DirectoryLocations
615 Shady Oak Dr
Mobile, AL 36608
Phone (251) 334-0364
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Mobile, AL
- NPI 1285796607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1509667200000",
"number": "1427560077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4320 MONTEVALLO RD",
"city": "MOUNTAIN BRK",
"state": "AL",
"postal_code": "352132722",
"telephone_number": "205-434-7115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 SHADY OAK DR",
"city": "MOBILE",
"state": "AL",
"postal_code": "366085830",
"telephone_number": "251-334-0364",
"fax_number": "251-341-1787"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SECD SPRING HILL MOBILE",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-03",
"last_updated": "2017-11-03",
"status": "A",
"authorized_official_last_name": "MCDONALD",
"authorized_official_first_name": "HEATHER",
"authorized_official_middle_name": "BRITTANY",
"authorized_official_title_or_position": "REGIONAL DIRECTOR",
"authorized_official_telephone_number": "205-434-7115"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.