NPIMap

Organization Active NPI

Vital Smiles Alabama, P. C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Birmingham, AL
National Provider Identifier
1700178654
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
AL3061 Issued in AL
Legal business name
VITAL SMILES ALABAMA, P. C.
Practice address
2525 Center Point Pkwy
Birmingham, AL 35215-2548
Phone
(205) 271-6851
Fax
(205) 271-6836
NPI assigned
May 11, 2011
Last updated
Dec 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Dr. George David Johnson, D. D. S.NPI 1912018029
Title
Owner
Phone
(205) 271-6851

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X AL3061 AL Primary

Addresses

Primary practice location

2525 Center Point Pkwy
Birmingham, AL 35215-2548

Mailing address

2525 Center Point Pkwy
Birmingham, AL 35215-2548
Phone (205) 854-8093

National Provider Directory

National Provider Directory
Tax ID family
The Tooth Zone II Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1700178654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 CENTER POINT PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352152548",
            "telephone_number": "205-854-8093",
            "fax_number": "205-854-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 CENTER POINT PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352152548",
            "telephone_number": "205-271-6851",
            "fax_number": "205-271-6836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL SMILES ALABAMA, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-11",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-271-6851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. D. S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AL",
            "license": "AL3061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.