SRD Russellville PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SRD RUSSELLVILLE PLLC

Doing business as

Singing River Dentistry Russellville

Practice address

531 Saint Clair St SE
Russellville, AL 35653-2719

Phone

(256) 332-6888

NPI assigned

Jun 20, 2022

Last updated

Jul 6, 2022By 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

Christyn Shields

Title

Controller

Phone

(256) 320-5903

Specialties & licenses 1

Addresses

Other names 1

• Singing River Dentistry Russellville Doing business as

Locations

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1730810920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740979",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356747423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 SAINT CLAIR ST SE",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356532719",
            "telephone_number": "256-332-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRD RUSSELLVILLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "CHRISTYN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "256-320-5903"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Singing River Dentistry Russellville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southern Rural Health Care Consortium
• Southern Rural Health Care Consortium, Inc.
• Southerncare Inc (SouthernCare Russellville)
• Jamie Springer
• Anna Spurgeon, LPTA
• Erin Fae Stanley, DMD
• State of Alabama
• State of Alabama Department of Public Health (Franklin County Health Dept Flu-Pneu)
• Sterling Emergency Services of Alabama Inc
• Steven D. Hammack D.M.D.

• General Practice Dentistry in Russellville, AL
• Providers in Russellville, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.