NPIMap

Organization Active NPI

Pelham Dental, L.L.C.

  • General Practice Dentistry
  • Pelham, AL
National Provider Identifier
1821302563
Registry record updated Dec 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PELHAM DENTAL, L.L.C.
Practice address
2685 Pelham Pkwy
Suite B
Pelham, AL 35124-1354
Phone
(205) 216-0522
Fax
(205) 216-0520
NPI assigned
Aug 5, 2010
Last updated
Dec 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2012

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

Authorized official

Name
Karol Poczatek, D.M.D.NPI 1023320769
Title
Dentist
Phone
(205) 216-0522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

2685 Pelham Pkwy
Suite B
Pelham, AL 35124-1354

Mailing address

2685 Pelham Pkwy
Suite B
Pelham, AL 35124-1354
Phone (205) 216-0522

National Provider Directory

National Provider Directory

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": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354838400000",
    "number": "1821302563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 PELHAM PKWY",
            "address_2": "SUITE B",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241354",
            "telephone_number": "205-216-0522",
            "fax_number": "205-216-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 PELHAM PKWY",
            "address_2": "SUITE B",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241354",
            "telephone_number": "205-216-0522",
            "fax_number": "205-216-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELHAM DENTAL, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2012-12-07",
        "status": "A",
        "authorized_official_last_name": "POCZATEK",
        "authorized_official_first_name": "KAROL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "205-216-0522",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; 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.