Organization Active NPI

Floss Family Dentistry, PC

  • Dental Clinic/Center
  • Mountain BRK, AL
National Provider Identifier
1740794635
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5210 Issued in AL
Legal business name
FLOSS FAMILY DENTISTRY, PC
Practice address
27 Church St
Mountain BRK, AL 35213-3701
Phone
(205) 218-9823
NPI assigned
Nov 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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

Authorized official

Name
Dr. Christian Nelson, DMD
Title
President
Phone
(205) 218-9823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5210 AL Primary

Addresses

Primary practice location

27 Church St
Mountain BRK, AL 35213-3701

Mailing address

31 Honeysuckle LN
Mountain BRK, AL 35213-3011
Phone (205) 218-9823

Other names 1

  • Floss Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

27 Church St
Mountain Brk, AL 35213
Phone (205) 218-9823

NPI Registry JSON

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512000000000",
    "number": "1740794635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 HONEYSUCKLE LN",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352133011",
            "telephone_number": "205-218-9823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CHURCH ST",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352133701",
            "telephone_number": "205-218-9823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOSS FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-218-9823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "5210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Floss Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain BRK, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; 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.