NPIMap

Organization Active NPI

Richard H Real. Jr., D.M.D., P.a.

  • Dentist
  • Hoover, AL
National Provider Identifier
1659486397
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2931CS Issued in AL
Legal business name
RICHARD H REAL. JR., D.M.D., P.A.
Practice address
2161 Clearbrook Road
Hoover, AL 35226
Phone
(205) 823-2577
Fax
(205) 823-2585
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Richard H Real, DMDNPI 1396180667
Title
Owner
Phone
(208) 823-2577

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2931CS AL Primary

Addresses

Primary practice location

2161 Clearbrook Road
Hoover, AL 35226

Mailing address

2161 Clearbrook Road
Hoover, AL 35226
Phone (205) 823-2577

National Provider Directory

National Provider Directory

Locations

2161 Clearbrook Rd
Hoover, AL 35226
Phone (205) 823-2577

Practitioners & affiliated clinicians

Practitioners 3

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": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1659486397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 CLEARBROOK ROAD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "35226",
            "telephone_number": "205-823-2577",
            "fax_number": "205-823-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 CLEARBROOK ROAD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "35226",
            "telephone_number": "205-823-2577",
            "fax_number": "205-823-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD H REAL. JR., D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "REAL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-823-2577",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AL",
            "license": "2931CS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.