NPIMap

Organization Active NPI

Diamond Smiles Dentistry, Inc

  • General Practice Dentistry
  • Hoover, AL
National Provider Identifier
1619403607
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17019486 Issued in AL
Legal business name
DIAMOND SMILES DENTISTRY, INC
Practice address
5336 Stadium Trace Pkwy
Ste 102
Hoover, AL 35244-4580
Phone
(205) 988-9700
Fax
(205) 988-4191
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Edgar LunaNPI 1962624577
Title
President / Owner
Phone
(205) 988-9700

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 17019486 AL Primary

Addresses

Primary practice location

5336 Stadium Trace Pkwy
Ste 102
Hoover, AL 35244-4580

Mailing address

5336 Stadium Trace Pkwy
Ste 102
Hoover, AL 35244-4580
Phone (205) 988-9700

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": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1619403607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5336 STADIUM TRACE PKWY",
            "address_2": "STE 102",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444580",
            "telephone_number": "205-988-9700",
            "fax_number": "205-988-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5336 STADIUM TRACE PKWY",
            "address_2": "STE 102",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444580",
            "telephone_number": "205-988-9700",
            "fax_number": "205-988-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND SMILES DENTISTRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "205-988-9700"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "17019486",
            "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 May 11, 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.