Josh Headley DMD LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JOSH HEADLEY DMD LLC

Practice address

4643 Camp Coleman Rd Ste 125
Trussville, AL 35173-2838

Phone

(205) 774-1823

NPI assigned

Sep 16, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Joshua Ray Headley, DMDNPI 1881132710

Title

Dentist

Phone

(256) 504-8250

Specialties & licenses 2

Addresses

Practitioners 1

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

• Joshua Ray Headley, D.M.D.

  • General Practice Dentistry
  • Bessemer, AL
  • NPI 1881132710
  NPD Authorized official

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1689401523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 LIBERTY PARK LN",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352422255",
            "telephone_number": "256-504-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4643 CAMP COLEMAN RD STE 125",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351732838",
            "telephone_number": "205-774-1823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSH HEADLEY DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "HEADLEY",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "256-504-8250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie N. Johnson-Barnett, O.D.
• Courtney Johnson, MS, RD, LDN
• Retta Paschal Johnson, OTR/L, CHT
• Samuel Jones, PH.D., MFTA
• Michele Jordan, M.D
• KD Counseling LLC
• Kelly Bowles Counseling
• Kelly Dorr Moates, LMFT, LLC
• Caroline Kidd, MA, ALC, NCC
• Katherine Kimbrough, DPT

• Dental Clinic/Center in Trussville, AL
• Providers in Trussville, AL by specialty
• Dental Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.