NPIMap

Organization Active NPI

Otm Pediatric Dentistry, LLC

  • Pediatric Dentistry
  • Vestavia Hills, AL
National Provider Identifier
1801423280
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
OTM PEDIATRIC DENTISTRY, LLC
Practice address
521 Highway 31 S Ste 125
Vestavia Hills, AL 35216-1877
Phone
(205) 822-4284
Fax
(205) 822-4285
NPI assigned
Mar 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Authorized official

Name
Dr. Flynt Gilbert Purvis, DMDNPI 1306055801
Title
President
Phone
(205) 983-8980

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 1

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

Addresses

Primary practice location

521 Highway 31 S Ste 125
Vestavia Hills, AL 35216-1877

Mailing address

2401 Dolly Ridge Rd
Vestavia, AL 35243-4609
Phone (205) 983-8980

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.steinmetzpediatricdentistry.org Direct

National Provider Directory

National Provider Directory

Locations

521 Montgomery Hwy
Ste 125
Vestavia Hills, AL 35216
Phone (205) 822-4284

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585094400000",
    "number": "1801423280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 DOLLY RIDGE RD",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352434609",
            "telephone_number": "205-983-8980",
            "fax_number": "205-983-8982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 HIGHWAY 31 S STE 125",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352161877",
            "telephone_number": "205-822-4284",
            "fax_number": "205-822-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTM PEDIATRIC DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A",
        "authorized_official_last_name": "PURVIS",
        "authorized_official_first_name": "FLYNT",
        "authorized_official_middle_name": "GILBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-983-8980",
        "authorized_official_name_prefix": "Dr.",
        "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": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.steinmetzpediatricdentistry.org",
            "affiliation": "N",
            "endpointDescription": "practice website with email capabilities",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "521 Highway 31 S Ste 125",
            "city": "Vestavia Hills",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352161877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vestavia Hills, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.