Childersburg Family Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CHILDERSBURG FAMILY DENTAL

Practice address

138 9TH Ave SW
Childersburg, AL 35044-1642

Phone

(256) 378-3127

NPI assigned

Aug 24, 2022

Last updated

Aug 24, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roxanne Weaver, DMDNPI 1922592781

Title

Dentist, Owner

Phone

(256) 694-1958

Specialties & licenses 1

Addresses

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.

• Roxanne Weaver, DMD

  • General Practice Dentistry
  • Birmingham, AL
  • NPI 1922592781
  NPD Authorized official

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1467171249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 10TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352224206",
            "telephone_number": "205-500-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 9TH AVE SW",
            "city": "CHILDERSBURG",
            "state": "AL",
            "postal_code": "350441642",
            "telephone_number": "256-378-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDERSBURG FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_title_or_position": "DENTIST, OWNER",
        "authorized_official_telephone_number": "256-694-1958",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia R Brown, L.H.I.S.
• Christy Carroll-Ledbetter
• Norman Donald Chambers, M.D.
• Childersburg Diagnostic Imaging, LLC
• Childersburg Diagnostic Imaging, LLC
• Childersburg GR Dental, LLC (280 Dental Care)
• City of Childersburg (Childersburg Ambulance Service)
• Wendy White Cleveland, RPH
• Nikese D Coleman, MS, OTR/L
• Coosa Eye Associates, P.C.

• Dental Clinic/Center in Childersburg, AL
• Providers in Childersburg, AL by specialty
• Dental Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.