NPIMap

Organization Active NPI

E. a. Kivus, D.D.S., PC

  • Dental Clinic/Center
  • Hoover, AL
National Provider Identifier
1568815694
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6222 Issued in AL
Legal business name
E. A. KIVUS, D.D.S., PC
Practice address
1310 Alford Ave
Hoover, AL 35226-3199
Phone
(205) 823-3461
Fax
(204) 978-3752
NPI assigned
Jul 13, 2016
Last updated
Jul 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Authorized official

Name
Elizabeth Ann Kivus, D.D.S.NPI 1801150115
Title
Owner
Phone
(205) 823-3461

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 6222 AL Primary

Addresses

Primary practice location

1310 Alford Ave
Hoover, AL 35226-3199

Mailing address

1310 Alford Ave
Hoover, AL 35226-3199
Phone (205) 823-3461

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1568815694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 ALFORD AVE",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352263199",
            "telephone_number": "205-823-3461",
            "fax_number": "204-978-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 ALFORD AVE",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352263199",
            "telephone_number": "205-823-3461",
            "fax_number": "204-978-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. A. KIVUS, D.D.S., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "KIVUS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-823-3461",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "6222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.