Organization Active NPI

Brian R. Oliver DMD, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mobile, AL
National Provider Identifier
1700361003
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
BRIAN R. OLIVER DMD, LLC
Practice address
5901 Grelot Rd BLDG E
Mobile, AL 36609-3603
Phone
(251) 639-0801
NPI assigned
Oct 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Authorized official

Name
Brian Oliver
Title
Owner
Phone
(251) 639-0801

Specialties & licenses 1

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

Addresses

Primary practice location

5901 Grelot Rd BLDG E
Mobile, AL 36609-3603

Mailing address

5901 Grelot Rd BLDG E
Mobile, AL 36609-3603

National Provider Directory

National Provider Directory

Locations

5901 Grelot Rd
Ste E
Mobile, AL 36609
Phone (251) 639-0801

NPI Registry JSON

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538438400000",
    "number": "1700361003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 GRELOT RD BLDG E",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366093603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 GRELOT RD BLDG E",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366093603",
            "telephone_number": "251-639-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN R. OLIVER DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-02",
        "last_updated": "2018-10-02",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-639-0801"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.