Centennial Neurology and Headache Center, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

25521 Issued in AL

Legal business name

CENTENNIAL NEUROLOGY AND HEADACHE CENTER, PLLC

Practice address

1022 1St St N
Suite 300
Alabaster, AL 35007-8725

Phone

(205) 620-9187

Fax

(205) 620-9189

NPI assigned

Mar 3, 2008

Last updated

Nov 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hector Caballero, MDNPI 1780674762

Title

Owner/Physician

Phone

(205) 620-9187

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 2

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.

• Hector Caballero, MD

  • Specialist
  • Birmingham, AL
  • NPI 1780674762
  Medicare reassignment NPD Authorized official
• Amanda J Hunter, CRNP

  • Family Nurse Practitioner
  • Birmingham, AL
  • NPI 1063122794
  Medicare reassignment NPD

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1720258056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 1ST ST N",
            "address_2": "SUITE 300",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078725",
            "telephone_number": "205-620-9187",
            "fax_number": "205-620-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 1ST ST N",
            "address_2": "SUITE 300",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078725",
            "telephone_number": "205-620-9187",
            "fax_number": "205-620-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTENNIAL NEUROLOGY AND HEADACHE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "CABALLERO",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "205-620-9187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "25521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Alabaster, AL
• Providers in Alabaster, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.