Organization Active NPI

Singing River Dentistry Treehouse, LLC

  • Pediatric Dentistry
  • Madison, AL
National Provider Identifier
1790448769
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
SINGING RIVER DENTISTRY TREEHOUSE, LLC
Doing business as
Singing River Dentistry
Practice address
7559 Highway 72 W Ste 108
Madison, AL 35758-8816
Phone
(256) 653-9830
Fax
(256) 469-7905
NPI assigned
Oct 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Authorized official

Name
Christyn Shields, DMD
Title
Controller
Phone
(256) 320-5903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

7559 Highway 72 W Ste 108
Madison, AL 35758-8816

Mailing address

7559 Highway 72 W Ste 108
Madison, AL 35758-8816
Phone (256) 653-9830

Other names 1

  • Singing River Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1790448769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7559 HIGHWAY 72 W STE 108",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588816",
            "telephone_number": "256-653-9830",
            "fax_number": "256-469-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7559 HIGHWAY 72 W STE 108",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588816",
            "telephone_number": "256-653-9830",
            "fax_number": "256-469-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINGING RIVER DENTISTRY TREEHOUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "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",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Singing River Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, AL

Sources for this page

  • 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.