NPIMap

Organization Active NPI

Brookwood Dental, LLC

  • Dentist
  • Birmingham, AL
National Provider Identifier
1730539594
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6067 Issued in AL
Legal business name
BROOKWOOD DENTAL, LLC
Practice address
2045 Medical Center Dr
Suite 2
Birmingham, AL 35209-6874
Phone
(205) 871-3523
NPI assigned
Jun 13, 2016
Last updated
Jun 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Authorized official

Name
Dr. Celia Williams Davenport, DMD
Title
Manager
Phone
(205) 871-3523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6067 AL Primary

Addresses

Primary practice location

2045 Medical Center Dr
Suite 2
Birmingham, AL 35209-6874

Mailing address

2045 Medical Center Dr
Suite 2
Birmingham, AL 35209-6874
Phone (205) 871-3523

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1730539594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 MEDICAL CENTER DR",
            "address_2": "SUITE 2",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096874",
            "telephone_number": "205-871-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 MEDICAL CENTER DR",
            "address_2": "SUITE 2",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096874",
            "telephone_number": "205-871-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKWOOD DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "CELIA",
        "authorized_official_middle_name": "WILLIAMS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "205-871-3523",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AL",
            "license": "6067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.