Organization Active NPI

Complete Dental Care, P.C.

  • Prosthodontics
  • Birmingham, AL
National Provider Identifier
1801915236
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
5077 Issued in AL
Legal business name
COMPLETE DENTAL CARE, P.C.
Practice address
2121 14TH Ave S
Birmingham, AL 35205-3901
Phone
(205) 933-1291
Fax
(205) 930-9029
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Kimberly Harradine, D.M.D.NPI 1598884793
Title
Owner
Phone
(205) 933-1291

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: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 5048 AL
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X 5077 AL Primary

Addresses

Primary practice location

2121 14TH Ave S
Birmingham, AL 35205-3901

Mailing address

2121 14TH Ave S
Birmingham, AL 35205-3901
Phone (205) 933-1291

National Provider Directory

National Provider Directory

Locations

2121 14th Ave S
Birmingham, AL 35205
Phone (205) 933-1291

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": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1801915236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 14TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352053901",
            "telephone_number": "205-933-1291",
            "fax_number": "205-930-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 14TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352053901",
            "telephone_number": "205-933-1291",
            "fax_number": "205-930-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE DENTAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HARRADINE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-933-1291",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5048",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "AL",
            "license": "5077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 11, 2025; 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.