NPIMap

Organization Active NPI

East Alabama Pediatric Dentistry & Orthodontics

  • Pediatric Dentistry
  • Auburn, AL
National Provider Identifier
1497933253
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
5221 Issued in AL
Legal business name
EAST ALABAMA PEDIATRIC DENTISTRY & ORTHODONTICS
Practice address
742 N Dean Rd
Auburn, AL 36830-4300
Phone
(334) 321-0780
NPI assigned
Feb 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Authorized official

Name
Sandra J Buff
Title
Office Manager
Phone
(334) 321-0780

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 5221 AL Primary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 1223PO221X AL

Addresses

Primary practice location

742 N Dean Rd
Auburn, AL 36830-4300

Mailing address

742 N Dean Rd
Auburn, AL 36830-4300
Phone (334) 321-0780

National Provider Directory

National Provider Directory

Locations

742 N Dean Rd
Auburn, AL 36830
Phone (334) 321-0780

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1497933253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 N DEAN RD",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368304300",
            "telephone_number": "334-321-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 N DEAN RD",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368304300",
            "telephone_number": "334-321-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST ALABAMA PEDIATRIC DENTISTRY & ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "BUFF",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "334-321-0780"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "5221",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "1223PO221X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.