Organization Active NPI

Wall Street Dentistry LLC

  • Dental Clinic/Center
  • Albertville, AL
National Provider Identifier
1740519313
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WALL STREET DENTISTRY LLC
Practice address
65 Wall St
Albertville, AL 35951-7392
Phone
(256) 878-0525
Fax
(256) 878-0521
NPI assigned
Dec 10, 2009
Last updated
May 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Authorized official

Name
Layla Maples, RDH
Title
Hygienist
Phone
(256) 878-0525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

65 Wall St
Albertville, AL 35951-7392

Mailing address

65 Wall St
Albertville, AL 35951-7392
Phone (256) 878-0525

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": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1740519313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 WALL ST",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359517392",
            "telephone_number": "256-878-0525",
            "fax_number": "256-878-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 WALL ST",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359517392",
            "telephone_number": "256-878-0525",
            "fax_number": "256-878-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALL STREET DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "MAPLES",
        "authorized_official_first_name": "LAYLA",
        "authorized_official_title_or_position": "HYGIENIST",
        "authorized_official_telephone_number": "256-878-0525",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.