NPIMap

Organization Active NPI

Alabama Dental Professionals, P.C.

Doing business as South Mountain Dental Care

  • General Practice Dentistry
  • Vestavia, AL
National Provider Identifier
1851075006
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ALABAMA DENTAL PROFESSIONALS, P.C.
Doing business as
South Mountain Dental Care
Practice address
3186 Rush St Ste 100
Vestavia, AL 35242-5546
Phone
(205) 855-4850
Fax
(205) 855-4715
NPI assigned
Jun 9, 2023
Last updated
Jun 9, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ALABAMA DENTAL PROFESSIONALS, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Authorized official

Name
Belinda Huerta
Title
Credentialing
Phone
(217) 540-2100

Specialties & licenses 1

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

Addresses

Primary practice location

3186 Rush St Ste 100
Vestavia, AL 35242-5546

Mailing address

3186 Rush St Ste 100
Vestavia, AL 35242-5546
Phone (205) 855-4850

Other names 1

  • South Mountain Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alabama Dental Professionals PC21 organizations share this tax ID, including this one
Part of
Alabama Dental Professionals PC

Other organizations with this tax ID 20

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

View all 20

Locations

3186 Rush St
Ste 100
Vestavia, AL 35242
Phone (205) 855-4850

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": "1686268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1851075006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3186 RUSH ST STE 100",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352425546",
            "telephone_number": "205-855-4850",
            "fax_number": "205-855-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3186 RUSH ST STE 100",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352425546",
            "telephone_number": "205-855-4850",
            "fax_number": "205-855-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA DENTAL PROFESSIONALS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALABAMA DENTAL PROFESSIONALS, P.C.",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "HUERTA",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "217-540-2100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Mountain Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vestavia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.