Organization Active NPI

Secd Spring Hill Mobile

  • Dental Clinic/Center
  • Mobile, AL
National Provider Identifier
1427560077
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Nov 3, 2017

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.