Organization Active NPI

Willis Family Dentistry

  • Dental Clinic/Center
  • Mobile, AL
National Provider Identifier
1558845560
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WILLIS FAMILY DENTISTRY
Practice address
6217 Cottage Hill Rd
Mobile, AL 36609-3109
Phone
(251) 660-1514
NPI assigned
Sep 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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

Authorized official

Name
Dr. Joseph Willis
Title
Dentist
Phone
(251) 660-1514

Specialties & licenses 1

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

Addresses

Primary practice location

6217 Cottage Hill Rd
Mobile, AL 36609-3109

Mailing address

6217 Cottage Hill Rd
Mobile, AL 36609-3109
Phone (251) 660-1514

Other identifiers 1

IdentifierTypeStateIssuer
15435837OtherNPI

National Provider Directory

National Provider Directory

Locations

6217 Cottage Hill Rd
Mobile, AL 36609
Phone (251) 660-1514

NPI Registry JSON

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537142400000",
    "number": "1558845560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6217 COTTAGE HILL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366093109",
            "telephone_number": "251-660-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6217 COTTAGE HILL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366093109",
            "telephone_number": "251-660-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIS FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-17",
        "last_updated": "2018-09-17",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "251-660-1514",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "15435837",
            "state": null
        }
    ],
    "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 Sep 17, 2018; 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.