NPIMap

Organization Active NPI

Hueytown Family Dentistry, LLC

  • General Practice Dentistry
  • Bessemer, AL
National Provider Identifier
1467937466
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HUEYTOWN FAMILY DENTISTRY, LLC
Practice address
3098 Allison Bonnett Memorial Dr
Bessemer, AL 35023-2233
Phone
(205) 491-2161
Fax
(205) 491-2198
NPI assigned
Sep 26, 2018
Last updated
Sep 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Authorized official

Name
Dr. Adam Blake Graham, LASHEA DODSONNPI 1871660654
Title
Insurance Department Manager
Phone
(205) 647-3181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

3098 Allison Bonnett Memorial Dr
Bessemer, AL 35023-2233

Mailing address

205 Caldwell Dr
Warrior, AL 35180-1407
Phone (205) 645-3181

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537920000000",
    "number": "1467937466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 CALDWELL DR",
            "city": "WARRIOR",
            "state": "AL",
            "postal_code": "351801407",
            "telephone_number": "205-645-3181",
            "fax_number": "205-647-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3098 ALLISON BONNETT MEMORIAL DR",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350232233",
            "telephone_number": "205-491-2161",
            "fax_number": "205-491-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUEYTOWN FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-09-26",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "INSURANCE DEPARTMENT MANAGER",
        "authorized_official_telephone_number": "205-647-3181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LASHEA DODSON"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.