NPIMap

Organization Active NPI

Gardendale Family Dentistry

  • General Practice Dentistry
  • Gardendale, AL
National Provider Identifier
1497848451
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GARDENDALE FAMILY DENTISTRY
Practice address
116 West Tarrant Drive
Gardendale, AL 35071
Phone
(205) 631-7301
Fax
(205) 631-6736
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert Edmundson Hamrie, DMD
Title
Administrator
Phone
(205) 647-6647

Specialties & licenses 1

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

Addresses

Primary practice location

116 West Tarrant Drive
Gardendale, AL 35071

Mailing address

116 West Tarrant Drive
Gardendale, AL 35071
Phone (205) 631-7301

National Provider Directory

National Provider Directory
Tax ID family
Acton Family Dentistry4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

116 W Tarrant Dr
Gardendale, AL 35071
Phone (205) 631-7301

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497848451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 WEST TARRANT DRIVE",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "35071",
            "telephone_number": "205-631-7301",
            "fax_number": "205-631-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 WEST TARRANT DRIVE",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "35071",
            "telephone_number": "205-631-7301",
            "fax_number": "205-631-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDENDALE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMRIE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EDMUNDSON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "205-647-6647",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardendale, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.