Organization Active NPI

Richard M. Bedsole, D.M.D., P.C.

  • Dentist
  • Decatur, AL
National Provider Identifier
1699179457
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4353 Issued in AL
Legal business name
RICHARD M. BEDSOLE, D.M.D., P.C.
Practice address
1316 Stratford Rd SE
Building 1 Suite 1
Decatur, AL 35601-6036
Phone
(256) 355-1687
Fax
(256) 351-1322
NPI assigned
Oct 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Authorized official

Name
Mrs. Dawn Renee Dawson
Title
Office Manager
Phone
(256) 355-7168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4353 AL Primary

Addresses

Primary practice location

1316 Stratford Rd SE
Building 1 Suite 1
Decatur, AL 35601-6036

Mailing address

1316 Stratford Rd SE
Building 1 Suite 1
Decatur, AL 35601-6036
Phone (256) 355-1687

National Provider Directory

National Provider Directory

Locations

1316 Stratford Rd SE
Bldg 1
Decatur, AL 35601
Phone (256) 355-1687

NPI Registry JSON

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1699179457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 STRATFORD RD SE",
            "address_2": "BUILDING 1 SUITE 1",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356016036",
            "telephone_number": "256-355-1687",
            "fax_number": "256-351-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 STRATFORD RD SE",
            "address_2": "BUILDING 1 SUITE 1",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356016036",
            "telephone_number": "256-355-1687",
            "fax_number": "256-351-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD M. BEDSOLE, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-355-7168",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AL",
            "license": "4353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.