Pediatric Dental Associates of Cahaba Heights, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

5181 Issued in AL

Legal business name

PEDIATRIC DENTAL ASSOCIATES OF CAHABA HEIGHTS, LLC

Practice address

4213 Dolly Ridge Rd
Vestavia, AL 35243-5703

Phone

(205) 490-6850

NPI assigned

May 8, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Richard Chambliss, DDS

Title

Owner

Phone

(205) 453-0314

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1639668486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4213 DOLLY RIDGE RD",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352435703",
            "telephone_number": "205-490-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4213 DOLLY RIDGE RD",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352435703",
            "telephone_number": "205-490-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL ASSOCIATES OF CAHABA HEIGHTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "CHAMBLISS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-453-0314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "5181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Frank Bennett Pearce Jr., M.D.
• Danita Pearson
• Jason Peevy, ALC
• Argelia Pena Rojas
• Romeo Aaron Penn, LICENSED PASTORAL CO
• Norma Penton
• Emily Tatum Peppers

• Pediatric Dentistry in Vestavia, AL
• Providers in Vestavia, AL by specialty
• Pediatric Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.