NPIMap

Organization Active NPI

Azalea City Dental, LLC

  • General Practice Dentistry
  • Mobile, AL
National Provider Identifier
1518127828
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AZALEA CITY DENTAL, LLC
Practice address
1754 Government St
Mobile, AL 36604-1111
Phone
(251) 471-1516
Fax
(251) 471-8002
NPI assigned
Jun 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
Ms. Tracy Woodall
Title
Office Manager
Phone
(251) 471-1516

Specialties & licenses 1

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

Addresses

Primary practice location

1754 Government St
Mobile, AL 36604-1111

Mailing address

1754 Government St
Mobile, AL 36604-1111
Phone (251) 471-1516

National Provider Directory

National Provider Directory
Tax ID family
Azalea City Dental LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1754 Government St
Mobile, AL 36604
Phone (251) 471-1516

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1518127828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1754 GOVERNMENT ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041111",
            "telephone_number": "251-471-1516",
            "fax_number": "251-471-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1754 GOVERNMENT ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041111",
            "telephone_number": "251-471-1516",
            "fax_number": "251-471-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZALEA CITY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "WOODALL",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "251-471-1516",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.