Organization Active NPI

Red Hills Dental Associates

  • Dental Clinic/Center
  • Tallahassee, FL
National Provider Identifier
1487160438
Registry record updated Dec 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN13009 Issued in FL
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2017

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)CodeLicenseStatePrimary
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 Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.