Ruth Penton Polson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5186 Issued in AL

Practice address

3145 Green Valley Road
Suite 101
Vestana Hills, AL 35243

Phone

(205) 970-7292

Fax

(205) 623-3036

NPI assigned

Feb 21, 2007

Last updated

Feb 2, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Ruth Penton Hayes Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• BMH DDS, LLC

  dba Pearly White Dentistry

  • Dental Clinic/Center
  • Vestavia, AL
  • NPI 1932750882
  NPD (past)
• Haleigh S. Blackwell, DMD, PC

  dba Pearly White Dentistry

  • Dentist
  • Vestavia, AL
  • NPI 1174804058
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1598890725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 GREEN VALLEY ROAD",
            "address_2": "SUITE 101",
            "city": "VESTANA HILLS",
            "state": "AL",
            "postal_code": "35243",
            "telephone_number": "205-970-7292",
            "fax_number": "205-623-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 GREEN VALLEY ROAD",
            "address_2": "SUITE 101",
            "city": "VESTANA HILLS",
            "state": "AL",
            "postal_code": "35243",
            "telephone_number": "205-970-7292",
            "fax_number": "205-623-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLSON",
        "first_name": "RUTH",
        "middle_name": "PENTON",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTH",
            "last_name": "HAYES",
            "middle_name": "PENTON",
            "prefix": "MS.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.