NPIMap

Organization Active NPI

Capstone Dental Care

  • General Practice Dentistry
  • Tuscaloosa, AL
National Provider Identifier
1760558167
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4990 Issued in AL
Legal business name
CAPSTONE DENTAL CARE
Practice address
100 Rice Mine Rd N
Suite D
Tuscaloosa, AL 35406-2300
Phone
(205) 248-9077
Fax
(205) 248-9076
NPI assigned
Nov 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jennifer T Dickson, DMDNPI 1003900523
Title
Dentist
Phone
(205) 248-9077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 4990 AL Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 4999 AL

Addresses

Primary practice location

100 Rice Mine Rd N
Suite D
Tuscaloosa, AL 35406-2300

Mailing address

100 Rice Mine Rd N
Suite D
Tuscaloosa, AL 35406-2300
Phone (205) 248-9077

National Provider Directory

National Provider Directory

Locations

100 Rice Mine Rd N
Ste D
Tuscaloosa, AL 35406
Phone (205) 248-9077

Practitioners & affiliated clinicians

Practitioners 1

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": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760558167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RICE MINE RD N",
            "address_2": "SUITE D",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062300",
            "telephone_number": "205-248-9077",
            "fax_number": "205-248-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RICE MINE RD N",
            "address_2": "SUITE D",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062300",
            "telephone_number": "205-248-9077",
            "fax_number": "205-248-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPSTONE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "205-248-9077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4990",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4999",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.