Organization Active NPI

John O Bolton DMD

  • General Practice Dentistry
  • Pinson, AL
National Provider Identifier
1720173883
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3376 Issued in AL
Legal business name
JOHN O BOLTON DMD
Practice address
6720 Old Springville Road
Pinson, AL 35126
Phone
(205) 680-2001
Fax
(205) 680-2003
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John O Bolton, DMD
Title
Owner
Phone
(205) 680-2001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3376 AL Primary

Addresses

Primary practice location

6720 Old Springville Road
Pinson, AL 35126

Mailing address

6720 Old Springville Road
Pinson, AL 35126
Phone (205) 680-2001

National Provider Directory

National Provider Directory

Locations

6720 Old Springville Rd
Pinson, AL 35126
Phone (205) 680-2001

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720173883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 OLD SPRINGVILLE ROAD",
            "city": "PINSON",
            "state": "AL",
            "postal_code": "35126",
            "telephone_number": "205-680-2001",
            "fax_number": "205-680-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 OLD SPRINGVILLE ROAD",
            "city": "PINSON",
            "state": "AL",
            "postal_code": "35126",
            "telephone_number": "205-680-2001",
            "fax_number": "205-680-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN O BOLTON DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOLTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-680-2001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinson, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.