Organization Active NPI

Stonecreek Dental of Alabama

  • Dentist
  • Vestavia Hills, AL
National Provider Identifier
1689217309
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
STONECREEK DENTAL OF ALABAMA
Practice address
1840 Montclaire Dr
Vestavia Hills, AL 35216-1408
Phone
(205) 870-5445
NPI assigned
Oct 25, 2019
Organization subpart
Yes
Parent organization
STONECREEK DENTAL OF ALABAMAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Authorized official

Name
Veronica Jackson
Title
Credentialing Manager
Phone
(205) 919-1750

Specialties & licenses 1

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

Addresses

Primary practice location

1840 Montclaire Dr
Vestavia Hills, AL 35216-1408

Mailing address

1840 Montclaire Dr
Vestavia Hills, AL 35216-1408

Other practice location 1

4616 Montevallo Rd Ste 200
Irondale, AL 35210-3104
Phone (205) 870-5445

Other practice location 2

7224 Governors West NW
Huntsville, AL 35806-2051
Phone (205) 870-5445

Other practice location 3

5336 Stadium Trace Pkwy Ste 102
Hoover, AL 35244-4581
Phone (205) 870-5445

Other practice location 4

8301 Highway 31 N Ste 109
Morris, AL 35116-1301
Phone (205) 870-5445

Other practice location 5

1130 1st St N
Alabaster, AL 35007-8771
Phone (205) 870-5445

Other practice location 6

5750 Bentley Way
Trussville, AL 35173-6700
Phone (205) 870-5445

Other practice location 7

112 Broadway St
Birmingham, AL 35209-5312
Phone (205) 870-5445

Other practice location 8

5590 Chalkville Mountain Road
Suite A
Birmingham, AL 35235
Phone (205) 870-5445

Other practice location 9

2045 Brookwood Medical Ctr Dr Ste 22
Birmingham, AL 35209-6809
Phone (205) 870-5445

Other practice location 10

4810 Woods Crossing Dr
Montgomery, AL 36106-3650
Phone (205) 870-5445

Other practice location 11

1633 Montgomery Hwy Ste 5
Vestavia Hills, AL 35216-4908
Phone (205) 870-5445

Other practice location 12

1901 Mulberry St
Montgomery, AL 36106-1626
Phone (205) 870-5445

Other practice location 13

3940 Montclair Rd Ste 206
Mountain Brk, AL 35213-2416
Phone (205) 870-5445

Other names 1

  • StoneCreek Dental of Alabama Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Stonecreek Dental of Alabama26 organizations share this tax ID, including this one
Part of
Stonecreek Dental of Alabama

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Locations

5590 Chalkville Rd
Ste A
Birmingham, AL 35235
Phone (205) 853-3643

5336 Stadium Trace Pkwy
Ste 102
Hoover, AL 35244
Phone (205) 746-4117

7224 Governors West NW
Huntsville, AL 35806
Phone (256) 837-3800

4616 Montevallo Rd
#200
Irondale, AL 35210
Phone (205) 957-0106

3940 Montclair Rd
Ste 206
Mountain Brk, AL 35213
Phone (205) 870-9971

NPI Registry JSON

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571961600000",
    "number": "1689217309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 MONTCLAIRE DR",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352161408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 MONTCLAIRE DR",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352161408",
            "telephone_number": "205-870-5445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4616 Montevallo Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Irondale",
            "state": "AL",
            "postal_code": "352103104",
            "country_code": "US",
            "telephone_number": "205-870-5445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7224 Governors West NW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358062051",
            "country_code": "US",
            "telephone_number": "205-870-5445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5336 Stadium Trace Pkwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Hoover",
            "state": "AL",
            "postal_code": "352444581",
            "country_code": "US",
            "telephone_number": "205-870-5445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8301 Highway 31 N Ste 109",
            "address_purpose": "LOCATION",
            "city": "Morris",
            "state": "AL",
            "postal_code": "351161301",
            "country_code": "US",
            "telephone_number": "205-870-5445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1130 1st St N",
            "address_purpose": "LOCATION",
            "city": "Alabaster",
            "state": "AL",
            "postal_code": "350078771",
            "country_code": "US",
            "telephone_number": "205-870-5445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5750 Bentley Way",
            "address_purpose": "LOCATION",
            "city": "Trussville",
            "state": "AL",
            "postal_code": "351736700",
            "country_code": "US",
            "telephone_number": "205-870-5445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352095312",
            "country_code": "US",
            "telephone_number": "205-870-5445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5590 Chalkville Mountain Road",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "35235",
            "country_code": "US",
            "telephone_number": "205-870-5445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2045 Brookwood Medical Ctr Dr Ste 22",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352096809",
            "country_code": "US",
            "telephone_number": "205-870-5445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4810 Woods Crossing Dr",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361063650",
            "country_code": "US",
            "telephone_number": "205-870-5445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1633 Montgomery Hwy Ste 5",
            "address_purpose": "LOCATION",
            "city": "Vestavia Hills",
            "state": "AL",
            "postal_code": "352164908",
            "country_code": "US",
            "telephone_number": "205-870-5445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 Mulberry St",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361061626",
            "country_code": "US",
            "telephone_number": "205-870-5445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3940 Montclair Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Mountain Brk",
            "state": "AL",
            "postal_code": "352132416",
            "country_code": "US",
            "telephone_number": "205-870-5445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STONECREEK DENTAL OF ALABAMA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STONECREEK DENTAL OF ALABAMA",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-25",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "205-919-1750"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "StoneCreek Dental of Alabama",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vestavia Hills, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.