Organization Active NPI

Geise Dental at Clift Farm, LLC

Doing business as Geise Dental

  • General Practice Dentistry
  • Madison, AL
National Provider Identifier
1578396453
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GEISE DENTAL AT CLIFT FARM, LLC
Doing business as
Geise Dental
Practice address
351 John Henry Way
Madison, AL 35757-9602
Phone
(256) 881-7080
NPI assigned
Aug 26, 2024
Last updated
Aug 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Authorized official

Name
Dr. James T Geise, DMDNPI 1780970228
Title
Owner/Manager
Phone
(205) 331-9229

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

351 John Henry Way
Madison, AL 35757-9602

Mailing address

138 Oak Manor LN
Madison, AL 35756-4813
Phone (205) 331-9229

Other names 1

  • Geise Dental Doing business as

National Provider Directory

National Provider Directory

Locations

351 John Henry Way
Madison, AL 35757
Phone (256) 881-7080

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": "1724630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1578396453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 OAK MANOR LN",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357564813",
            "telephone_number": "205-331-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 JOHN HENRY WAY",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357579602",
            "telephone_number": "256-881-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEISE DENTAL AT CLIFT FARM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-25",
        "status": "A",
        "authorized_official_last_name": "GEISE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "205-331-9229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Geise Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.