NPIMap

Organization Active NPI

South Huntsville Dentistry, P.C.

  • Dental Clinic/Center
  • Huntsville, AL
National Provider Identifier
1649510967
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5285 Issued in AL
Legal business name
SOUTH HUNTSVILLE DENTISTRY, P.C.
Practice address
810 Shoney Dr SW
Suite 100
Huntsville, AL 35801-5450
Phone
(256) 429-9027
NPI assigned
Feb 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Authorized official

Name
Dr. Craig ShadingerNPI 1043306277
Title
President
Phone
(256) 429-9027

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5285 AL Primary

Addresses

Primary practice location

810 Shoney Dr SW
Suite 100
Huntsville, AL 35801-5450

Mailing address

810 Shoney Dr SW
Huntsville, AL 35801-5450

National Provider Directory

National Provider Directory

Locations

810 Shoney Dr SW
Huntsville, AL 35801
Phone (256) 692-9262

810 Shoney Dr SW
Ste 100
Huntsville, AL 35801
Phone (256) 207-8943

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1649510967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 SHONEY DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 SHONEY DR SW",
            "address_2": "SUITE 100",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015450",
            "telephone_number": "256-429-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HUNTSVILLE DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-22",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "SHADINGER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-429-9027",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "5285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.