Robert Terrell Underwood, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4885 Issued in AL

Practice address

1038 Mt. Olive Road
Gardendale, AL 35071-3443

Phone

(205) 631-8066

Fax

(205) 631-8021

NPI assigned

Oct 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Robert T Underwood DMD PC

  • Dentist
  • Gardendale, AL
  • NPI 1487013298
  NPD (past) Authorized official

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841371929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 MT. OLIVE ROAD",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350713443",
            "telephone_number": "205-631-8066",
            "fax_number": "205-631-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 MT. OLIVE ROAD",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350713443",
            "telephone_number": "205-631-8066",
            "fax_number": "205-631-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "ROBERT",
        "middle_name": "TERRELL",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51096265",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ricky Brian Tubbs, DO
• Edward Austin Tucker, CRNP
• Lavelle Tyson, MAMFT, ED.S., LPC
• U Save Pharmacies LLC (U-Save Pharmacy #40)
• Chris Umberger, PHARMD
• University of Alabama at Birmingham
• Urgent Care of Alabama LLC
• Village Drugs LLC (Village Pharmacy)
• Village Drugs LLC (Village Pharmacy)
• Vincentian Physician Services

• General Practice Dentistry in Gardendale, AL
• Providers in Gardendale, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.