NPIMap

Organization Active NPI

George Patterson Shedd III, DMD PC

  • Dentist
  • Huntsville, AL
National Provider Identifier
1669801924
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5651 Issued in AL
Legal business name
GEORGE PATTERSON SHEDD III, DMD PC
Practice address
2124 Cecil Ashburn Dr SE
Suite 130
Huntsville, AL 35802-2574
Phone
(256) 429-9220
Fax
(256) 429-9484
NPI assigned
Nov 7, 2013
Last updated
Nov 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Authorized official

Name
Dr. George Patterson Shedd III, DMD
Title
Owner
Phone
(256) 429-9220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5651 AL Primary

Addresses

Primary practice location

2124 Cecil Ashburn Dr SE
Suite 130
Huntsville, AL 35802-2574

Mailing address

2124 Cecil Ashburn Dr SE
Suite 130
Huntsville, AL 35802-2574
Phone (256) 429-9220

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1669801924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 CECIL ASHBURN DR SE",
            "address_2": "SUITE 130",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358022574",
            "telephone_number": "256-429-9220",
            "fax_number": "256-429-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 CECIL ASHBURN DR SE",
            "address_2": "SUITE 130",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358022574",
            "telephone_number": "256-429-9220",
            "fax_number": "256-429-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE PATTERSON SHEDD III, DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "SHEDD",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "PATTERSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-429-9220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AL",
            "license": "5651",
            "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 Nov 7, 2013; 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.