Organization Active NPI

James L. Sanderson Jr.D.M.D. LLC

  • General Practice Dentistry
  • Birmingham, AL
National Provider Identifier
1780700625
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3968 Issued in AL
Legal business name
JAMES L. SANDERSON JR.D.M.D. LLC
Doing business as
James L. Sanderson Jr. D.M.D.
Practice address
1633 Montgomery Hwy
Suite 5
Birmingham, AL 35216-4916
Phone
(205) 979-6005
Fax
(205) 979-6073
NPI assigned
Mar 22, 2007
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. James Lester Sanderson Jr., D.M.D.
Title
Dentist
Phone
(205) 979-6005

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 3968 AL Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 5360 AL

Addresses

Primary practice location

1633 Montgomery Hwy
Suite 5
Birmingham, AL 35216-4916

Mailing address

1633 Montgomery Hwy
Suite 5
Birmingham, AL 35216-4916
Phone (205) 979-6005

Other names 1

  • James L. Sanderson Jr. D.M.D. Doing business as

National Provider Directory

National Provider Directory

Locations

1633 Montgomery Hwy
Ste 5
Hoover, AL 35216
Phone (205) 979-6005

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780700625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 MONTGOMERY HWY",
            "address_2": "SUITE 5",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352164916",
            "telephone_number": "205-979-6005",
            "fax_number": "205-979-6073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 MONTGOMERY HWY",
            "address_2": "SUITE 5",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352164916",
            "telephone_number": "205-979-6005",
            "fax_number": "205-979-6073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES L. SANDERSON JR.D.M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANDERSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LESTER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "205-979-6005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3968",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5360",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James L. Sanderson Jr. D.M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.