Organization Active NPI

Meridianville Dental, LLC

  • Dentist
  • Meridianville, AL
National Provider Identifier
1699188508
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5814 Issued in AL
Legal business name
MERIDIANVILLE DENTAL, LLC
Practice address
11808 Highway 231 431 N
Meridianville, AL 35759-2126
Phone
(256) 828-1500
Fax
(256) 828-1515
NPI assigned
Jun 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Authorized official

Name
Dr. Barton Timothy Barrett, D.M.D.
Title
President
Phone
(256) 828-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5814 AL Primary

Addresses

Primary practice location

11808 Highway 231 431 N
Meridianville, AL 35759-2126

Mailing address

11808 Highway 231 431 N
Meridianville, AL 35759-2126
Phone (256) 828-1500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1699188508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11808 HIGHWAY 231 431 N",
            "city": "MERIDIANVILLE",
            "state": "AL",
            "postal_code": "357592126",
            "telephone_number": "256-828-1500",
            "fax_number": "256-828-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11808 HIGHWAY 231 431 N",
            "city": "MERIDIANVILLE",
            "state": "AL",
            "postal_code": "357592126",
            "telephone_number": "256-828-1500",
            "fax_number": "256-828-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIANVILLE DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "BARTON",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-828-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AL",
            "license": "5814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridianville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.