NPIMap

Organization Active NPI

Malbis Parkway Pediatric Dentistry

  • Pediatric Dentistry
  • Daphne, AL
National Provider Identifier
1548429160
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
5534 Issued in AL
Legal business name
MALBIS PARKWAY PEDIATRIC DENTISTRY
Practice address
9807 McSara Court
Daphne, AL 36527-8668
Phone
(251) 626-9924
Fax
(251) 626-9984
NPI assigned
Jun 9, 2008
Last updated
Jun 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Authorized official

Name
Dr. Kelly M Jones, DMDNPI 1144388372
Title
Pediatric Dentist/Owner
Phone
(251) 626-9924

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 5534 AL Primary

Addresses

Primary practice location

9807 McSara Court
Daphne, AL 36527-8668

Mailing address

30888 Pine CT
Spanish Fort, AL 36527-8668
Phone (251) 626-9924

National Provider Directory

National Provider Directory

Locations

9807 McSara Ct
Spanish Fort, AL 36527
Phone (251) 626-9924

Practitioners & affiliated clinicians

Practitioners 3

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": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1548429160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30888 PINE CT",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365278668",
            "telephone_number": "251-626-9924",
            "fax_number": "251-626-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9807 MCSARA COURT",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365278668",
            "telephone_number": "251-626-9924",
            "fax_number": "251-626-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALBIS PARKWAY PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST/OWNER",
        "authorized_official_telephone_number": "251-626-9924",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "5534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.