NPIMap

Organization Active NPI

North Alabama Prosthodontics, P.C.

  • Dental Clinic/Center
  • Huntsville, AL
National Provider Identifier
1710241724
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5654 Issued in AL
Legal business name
NORTH ALABAMA PROSTHODONTICS, P.C.
Practice address
807 Regal Dr SW
Huntsville, AL 35801-5604
Phone
(256) 517-8071
Fax
(256) 517-8124
NPI assigned
Jun 25, 2012
Last updated
Jun 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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

Authorized official

Name
Dr. Amanda Heusinger Peltier, D.M.D.
Title
President/Prosthodontist
Phone
(256) 517-8071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5654 AL Primary

Addresses

Primary practice location

807 Regal Dr SW
Huntsville, AL 35801-5604

Mailing address

807 Regal Dr SW
Huntsville, AL 35801-5604
Phone (256) 517-8071

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1710241724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 REGAL DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015604",
            "telephone_number": "256-517-8071",
            "fax_number": "256-517-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 REGAL DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015604",
            "telephone_number": "256-517-8071",
            "fax_number": "256-517-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ALABAMA PROSTHODONTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-25",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "PELTIER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "HEUSINGER",
        "authorized_official_title_or_position": "PRESIDENT/PROSTHODONTIST",
        "authorized_official_telephone_number": "256-517-8071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "5654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.