Organization Active NPI

Alabama Dental Specialist LLC

Doing business as Spectra Dental Specialists

  • Periodontics
  • Troy, MI
National Provider Identifier
1619599297
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
ALABAMA DENTAL SPECIALIST LLC
Doing business as
Spectra Dental Specialists
Practice address
800 Kirts Blvd Ste 650
Troy, MI 48084-4850
Phone
(248) 842-3670
Fax
(586) 991-1933
NPI assigned
May 18, 2020
Last updated
Apr 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Brittany Chapman
Title
Credentialing Manager
Phone
(248) 842-3670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X NU Primary

Addresses

Primary practice location

800 Kirts Blvd Ste 650
Troy, MI 48084-4850

Mailing address

800 Kirts Blvd Ste 650
Troy, MI 48084-4850
Phone (248) 842-3670

Other names 1

  • Spectra Dental Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

4501 Southlake Pkwy
Ste 201
Hoover, AL 35244
Phone (205) 822-3222

Practitioners & affiliated clinicians

Practitioners 2

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": "1589760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1619599297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 KIRTS BLVD STE 650",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844850",
            "telephone_number": "248-842-3670",
            "fax_number": "586-991-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 KIRTS BLVD STE 650",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844850",
            "telephone_number": "248-842-3670",
            "fax_number": "586-991-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA DENTAL SPECIALIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-18",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "248-842-3670"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectra Dental Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spectra Dental Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.