Organization Active NPI

Schambeau Dental Care, P.C.

  • General Practice Dentistry
  • Bessemer, AL
National Provider Identifier
1487916789
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4737 Issued in AL
Legal business name
SCHAMBEAU DENTAL CARE, P.C.
Practice address
6260 Park South Dr
Suite 101
Bessemer, AL 35022-5655
Phone
(205) 428-2205
NPI assigned
Jun 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Authorized official

Name
Dr. Kevin McGowin Schambeau, D.M.D.
Title
President
Phone
(205) 428-2205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4737 AL Primary

Addresses

Primary practice location

6260 Park South Dr
Suite 101
Bessemer, AL 35022-5655

Mailing address

6260 Park South Dr
Suite 101
Bessemer, AL 35022-5655
Phone (205) 428-2205

National Provider Directory

National Provider Directory

Locations

6260 Park South Dr
#101
Bessemer, AL 35022
Phone (205) 428-2205

6260 Park South Dr
Ste 101
Bessemer, AL 35022
Phone (205) 428-2205

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1487916789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6260 PARK SOUTH DR",
            "address_2": "SUITE 101",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350225655",
            "telephone_number": "205-428-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6260 PARK SOUTH DR",
            "address_2": "SUITE 101",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350225655",
            "telephone_number": "205-428-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHAMBEAU DENTAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "SCHAMBEAU",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MCGOWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-428-2205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4737",
            "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 Jun 12, 2012; 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.