NPIMap

Organization Active NPI

Franklin Primary Health Center, Inc

Doing business as South Mobile Family Dental Center

  • Dental Clinic/Center
  • Bayou la Batre, AL
National Provider Identifier
1619429248
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
FRANKLIN PRIMARY HEALTH CENTER, INC
Doing business as
South Mobile Family Dental Center
Practice address
13040 S. Wintzell Avenue
Bayou, la Batre, AL 36509-2110
Phone
(251) 432-4117
Fax
(251) 436-7765
NPI assigned
Oct 31, 2016
Last updated
Aug 30, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
FRANKLIN PRIMARY HEALTH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Authorized official

Name
Mr. Charles N/a White
Title
Ceo
Phone
(251) 432-4117

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU
General Practice Dentistry 1223G0001X NU
Pediatric Dentistry 1223P0221X NU
Dental Hygienist 124Q00000X NU
Dental Assistant 126800000X NU
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

13040 S. Wintzell Avenue
Bayou, la Batre, AL 36509-2110

Mailing address

1303 Dr Martin L King Jr Ave
Mobile, AL 36603-5341
Phone (251) 432-4117

Other names 1

  • South Mobile Family Dental Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Frnaklin Primary Health25 organizations share this tax ID, including this one
Part of
Frnaklin Primary Health

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1619429248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 DR MARTIN L KING JR AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366035341",
            "telephone_number": "251-432-4117",
            "fax_number": "251-436-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13040 S. WINTZELL AVENUE",
            "city": "BAYOU, LA BATRE",
            "state": "AL",
            "postal_code": "365092110",
            "telephone_number": "251-432-4117",
            "fax_number": "251-436-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKLIN PRIMARY HEALTH CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRANKLIN PRIMARY HEALTH CENTER, INC.",
        "enumeration_date": "2016-10-31",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "N/A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "251-432-4117",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Mobile Family Dental Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Mobile Family Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bayou la Batre, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.