NPIMap

Organization Active NPI

Rabbit Creek Dental, PLLC

  • Dental Clinic/Center
  • Mobile, AL
National Provider Identifier
1851057616
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RABBIT CREEK DENTAL, PLLC
Practice address
5000 Rangeline Crossing Blvd. Ste D
Mobile, AL 36619-9517
Phone
(251) 533-7103
NPI assigned
Nov 16, 2021
Last updated
Dec 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Authorized official

Name
Dr. Joseph Van Gegzna, DMDNPI 1457760035
Title
Owner
Phone
(251) 308-0584

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

5000 Rangeline Crossing Blvd. Ste D
Mobile, AL 36619-9517

Mailing address

4371 River Oaks LN
Mobile, AL 36619-9570
Phone (251) 533-7103

National Provider Directory

National Provider Directory

Locations

5000 Rangeline Crossing Dr
#D
Mobile, AL 36619
Phone (251) 533-7103

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": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1851057616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4371 RIVER OAKS LN",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366199570",
            "telephone_number": "251-533-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 RANGELINE CROSSING BLVD. STE D",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366199517",
            "telephone_number": "251-533-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RABBIT CREEK DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-12-01",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "GEGZNA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-308-0584",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.