NPIMap

Organization Active NPI

Vandervoort Family Dentistry, PC

  • General Practice Dentistry
  • Tuscaloosa, AL
National Provider Identifier
1841785052
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6103 Issued in AL
Legal business name
VANDERVOORT FAMILY DENTISTRY, PC
Practice address
217 McFarland Cir N
Tuscaloosa, AL 35406-1800
Phone
(205) 345-7755
Fax
(205) 343-9075
NPI assigned
Jun 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Authorized official

Name
Dr. William Maury Vandervoort, DMD
Title
Owner
Phone
(205) 345-7755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6103 AL Primary

Addresses

Primary practice location

217 McFarland Cir N
Tuscaloosa, AL 35406-1800

Mailing address

217 McFarland Cir N
Tuscaloosa, AL 35406-1800
Phone (205) 345-7755

National Provider Directory

National Provider Directory

Locations

217 McFarland Cir N
Tuscaloosa, AL 35406
Phone (205) 345-7755

Practitioners & affiliated clinicians

Practitioners 4

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": "1530230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1841785052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 MCFARLAND CIR N",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354061800",
            "telephone_number": "205-345-7755",
            "fax_number": "205-343-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 MCFARLAND CIR N",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354061800",
            "telephone_number": "205-345-7755",
            "fax_number": "205-343-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDERVOORT FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-29",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "VANDERVOORT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MAURY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-345-7755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "6103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.