Organization Active NPI

Beitel Pediatric Dentistry

  • Pediatric Dentistry
  • Huntsville, AL
National Provider Identifier
1821591561
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
BEITEL PEDIATRIC DENTISTRY
Practice address
580 Airport Rd SW
Huntsville, AL 35802-1309
Phone
(256) 883-5050
Fax
(256) 883-3557
NPI assigned
Mar 8, 2018
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Angie Edwards
Title
Insurance Coordinator
Phone
(256) 883-5050

Practitioners 1

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

National Provider Directory

National Provider Directory

Locations

580 Airport Rd SW
Huntsville, AL 35802
Phone (256) 883-5050

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X AL Primary

Addresses

NPPES NPI Registry

Primary practice location

580 Airport Rd SW
Huntsville, AL 35802-1309

Mailing address

580 Airport Rd SW
Huntsville, AL 35802-1309
Phone (256) 883-5050

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 8, 2018.

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520467200000",
    "number": "1821591561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 AIRPORT RD SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021309",
            "telephone_number": "256-883-5050",
            "fax_number": "256-883-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 AIRPORT RD SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021309",
            "telephone_number": "256-883-5050",
            "fax_number": "256-883-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEITEL PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-08",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "256-883-5050"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.