NPIMap

Organization Active NPI

Pinson Family Dentistry, PC

  • Dental Clinic/Center
  • Pinson, AL
National Provider Identifier
1679086136
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6302 Issued in AL
Legal business name
PINSON FAMILY DENTISTRY, PC
Practice address
6727 Deerfoot Pkwy
Pinson, AL 35126-3093
Phone
(250) 680-1120
Fax
(205) 680-8806
NPI assigned
Nov 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

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

Authorized official

Name
Dr. Gerald Dane Grovenstein Jr., DMDNPI 1659721587
Title
President
Phone
(205) 680-1120

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 6302 AL Primary

Addresses

Primary practice location

6727 Deerfoot Pkwy
Pinson, AL 35126-3093

Mailing address

6727 Deerfoot Pkwy
Pinson, AL 35126-3093
Phone (250) 680-1120

Other identifiers 1

IdentifierTypeStateIssuer
1659721587MedicaidAL

Other names 1

  • Deerfoot Dental Doing business as

National Provider Directory

National Provider Directory

Locations

6727 Deerfoot Pkwy
Pinson, AL 35126
Phone (205) 680-1120

Practitioners & affiliated clinicians

Practitioners 2

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": "1510012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510012800000",
    "number": "1679086136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6727 DEERFOOT PKWY",
            "city": "PINSON",
            "state": "AL",
            "postal_code": "351263093",
            "telephone_number": "250-680-1120",
            "fax_number": "205-680-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6727 DEERFOOT PKWY",
            "city": "PINSON",
            "state": "AL",
            "postal_code": "351263093",
            "telephone_number": "250-680-1120",
            "fax_number": "205-680-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINSON FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-07",
        "last_updated": "2017-11-07",
        "status": "A",
        "authorized_official_last_name": "GROVENSTEIN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "DANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-680-1120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "6302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659721587",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deerfoot Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pinson, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; 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.