NPIMap

Organization Active NPI

Mobile Pediatric Dentistry

  • Pediatric Dentistry
  • Mobile, AL
National Provider Identifier
1447681861
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
5075 Issued in AL
Legal business name
MOBILE PEDIATRIC DENTISTRY
Practice address
1105 Hillcrest Rd Ste B
Mobile, AL 36695-3921
Phone
(251) 634-3835
Fax
(251) 634-3837
NPI assigned
Dec 11, 2013
Last updated
Dec 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Authorized official

Name
Dr. Stephen E. Greenleaf, D.M.D.
Title
Dentist/Owner
Phone
(251) 634-3835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 5075 AL Primary

Addresses

Primary practice location

1105 Hillcrest Rd Ste B
Mobile, AL 36695-3921

Mailing address

1105 Hillcrest Rd Ste B
Mobile, AL 36695-3921
Phone (251) 634-3835

National Provider Directory

National Provider Directory

Locations

1105 Hillcrest Rd
Ste B
Mobile, AL 36695
Phone (251) 634-3835

NPI Registry JSON

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1447681861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 HILLCREST RD STE B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366953921",
            "telephone_number": "251-634-3835",
            "fax_number": "251-634-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 HILLCREST RD STE B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366953921",
            "telephone_number": "251-634-3835",
            "fax_number": "251-634-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-11",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "GREENLEAF",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "251-634-3835",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "5075",
            "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 Dec 11, 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.