Individual provider Active NPI

Christian Torres Diaz, DMD

  • General Practice Dentistry
  • Mobile, AL
National Provider Identifier
1720566102
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6986-C1 Issued in AL
Practice address
3716 Airport Blvd
Mobile, AL 36608-1618
Phone
(251) 406-8200
NPI assigned
Jul 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2018026319 MO
General Practice Dentistry 1223G0001X 6986-C1 AL Primary

Addresses

Primary practice location

3716 Airport Blvd
Mobile, AL 36608-1618

Mailing address

3716 Airport Blvd
Mobile, AL 36608-1618
Phone (251) 406-8200

Other practice location 1

3070 William Street
Cape Girardeau, MO 63703
Phone (760) 413-2649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6986-C1ALMDGeneral Practice Dentistry
2018026319MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Albert Franklin LLC CurrentSince Apr 17, 2022 Accepting new patients
Torres Diaz Dental PLLC General Practice CurrentSince Apr 17, 2022 Accepting new patients

Locations

3716 Airport Blvd
Mobile, AL 36608
Phone (251) 406-8200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1720566102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3716 AIRPORT BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081618",
            "telephone_number": "251-406-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 AIRPORT BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081618",
            "telephone_number": "251-406-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3070 William Street",
            "address_purpose": "LOCATION",
            "city": "Cape Girardeau",
            "state": "MO",
            "postal_code": "63703",
            "country_code": "US",
            "telephone_number": "760-413-2649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TORRES DIAZ",
        "first_name": "CHRISTIAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-30",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2018026319",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "6986-C1",
            "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 Apr 1, 2022; 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.