Active NPI
Red Hills Dental Associates
- Dental Clinic/Center
- Tallahassee, FL
National Provider Identifier
1487160438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- DN13009
- Legal business name
- RED HILLS DENTAL ASSOCIATES
- Practice address
- 1957 Raymond Diehl Rd
Tallahassee, FL 32308-3841 - Phone
- (850) 385-2003
- NPI assigned
- Dec 28, 2017
- Last updated
- Dec 28, 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
- Christina M Berry
- Title
- Office Administrator
- Phone
- (850) 385-2003
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | DN13009 | FL | Primary |
Addresses
Primary practice location
1957 Raymond Diehl Rd
Tallahassee, FL 32308-3841
Mailing address
1957 Raymond Diehl Rd
Tallahassee, FL 32308-3841
Phone (850) 385-2003
Other names 1
- Lawrence E Weaver DDS
National Provider Directory
National Provider DirectoryLocations
1957 Raymond Diehl Rd
Tallahassee, FL 32308
Phone (850) 385-2003
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- General Practice Dentistry
- Tallahassee, FL
- NPI 1407103807
-
- General Practice Dentistry
- Tallahassee, FL
- NPI 1124101175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1514419200000",
"number": "1487160438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1957 RAYMOND DIEHL RD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323083841",
"telephone_number": "850-385-2003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1957 RAYMOND DIEHL RD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323083841",
"telephone_number": "850-385-2003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RED HILLS DENTAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-28",
"last_updated": "2017-12-28",
"status": "A",
"authorized_official_last_name": "BERRY",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
"authorized_official_telephone_number": "850-385-2003"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "FL",
"license": "DN13009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lawrence E Weaver DDS",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Tallahassee, FL
- Naila Fahari Reaves-Sanchez
- Kiana Reaves
- Shobha Rebala, APRN
- Recover. Restart. Refreshed, Inc.
- Red Hills Counseling Center, Inc.
- Red Hills Oral and Facial Surgery, PA (Red Hills Oral and Facial Surgery)
- Red Hills Oral and Facial Surgery, PLLC
- Red Hills Surgical Center, LLC
- Red Hills Transit LLC
- Denise Karen Redd, ARNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.