NPIMap

Organization Active NPI

Shoals Smile by Design,PC

Doing business as Jamine C. Rogers

  • General Practice Dentistry
  • Muscle Shoals, AL
National Provider Identifier
1831227776
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4664 Issued in AL
Legal business name
SHOALS SMILE BY DESIGN,PC
Doing business as
Jamine C. Rogers
Practice address
301 W State St
Muscle Shoals, AL 35661-2835
Phone
(256) 314-0676
Fax
(256) 314-6373
NPI assigned
Mar 1, 2007
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Mrs. Robbie L. Galloway, RDH
Title
Office Manager
Phone
(256) 314-0676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4664 AL Primary

Addresses

Primary practice location

301 W State St
Muscle Shoals, AL 35661-2835

Mailing address

301 W State St
Muscle Shoals, AL 35661-2835
Phone (256) 314-0676

Other identifiers 2

IdentifierTypeStateIssuer
52903880MedicaidAL
92836OtherALBCBS PROVIDER ID

Other names 1

  • Jamine C. Rogers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jamine C Rogers2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1831227776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W STATE ST",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612835",
            "telephone_number": "256-314-0676",
            "fax_number": "256-314-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W STATE ST",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612835",
            "telephone_number": "256-314-0676",
            "fax_number": "256-314-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOALS SMILE BY DESIGN,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "GALLOWAY",
        "authorized_official_first_name": "ROBBIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-314-0676",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52903880",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "92836",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jamine C. Rogers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muscle Shoals, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.