GD Al Oda PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GD AL ODA PLLC

Practice address

1929 1St Ave
Opelika, AL 36801-5403

Phone

(334) 745-4663

NPI assigned

Mar 17, 2023

Organization subpart

No

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

Authorized official

Name

Chad Hendricks

Title

Credentialing

Phone

(612) 859-0444

Specialties & licenses 1

Addresses

Other names 1

• Opelika Dental Associates Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Makenzie Kitchens Johnson, D.M.D

  • General Practice Dentistry
  • Opelika, AL
  • NPI 1770216897
  NPD
• Carrie Ann Cochran, DDS

  • Dentist
  • Opelika, AL
  • NPI 1457963787
  NPD (past)

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1619679461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 1ST AVE",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015403",
            "telephone_number": "334-745-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 1ST AVE",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015403",
            "telephone_number": "334-745-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GD AL ODA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "612-859-0444"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Opelika Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Felicia Murphy Gardner, CRNP
• William Lee Garrett Jr., M.D.
• Garry Wright
• Leslie Gaultney, LPC
• Makayla Gay
• GD Al Opelika PLLC
• Genesis Dental Group Opelika PC
• Jessica Swanson Gentry
• Alexis M Gibbs, DMD
• Chad Edward Gibbs, DO

• General Practice Dentistry in Opelika, AL
• Providers in Opelika, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.