Organization Active NPI

M Gray Pond DMD LLC

Doing business as Leesa K Rogers DMD and Maggie G. Pond DMD

  • Dental Clinic/Center
  • Gardendale, AL
National Provider Identifier
1528698511
Registry record updated Jan 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
M GRAY POND DMD LLC
Doing business as
Leesa K Rogers DMD and Maggie G. Pond DMD
Practice address
1021 Fulton Ave
Gardendale, AL 35071-2559
Phone
(205) 631-3743
NPI assigned
Jan 19, 2020
Last updated
Jan 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2020

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

Authorized official

Name
Margaret Pond, DMD
Title
President
Phone
(205) 631-3743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

1021 Fulton Ave
Gardendale, AL 35071-2559

Mailing address

1021 Fulton Ave
Gardendale, AL 35071-2559
Phone (205) 631-3743

Other names 1

  • Leesa K Rogers DMD and Maggie G. Pond DMD Doing business as

National Provider Directory

National Provider Directory

Locations

1021 Fulton Ave
Gardendale, AL 35071
Phone (205) 631-3743

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": "1579392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579392000000",
    "number": "1528698511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 FULTON AVE",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712559",
            "telephone_number": "205-631-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 FULTON AVE",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712559",
            "telephone_number": "205-631-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M GRAY POND DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-19",
        "last_updated": "2020-01-19",
        "certification_date": "2020-01-19",
        "status": "A",
        "authorized_official_last_name": "POND",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-631-3743",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leesa K Rogers DMD and Maggie G. Pond DMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 19, 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.