NPIMap

Organization Active NPI

Pediatric Dental Clinic

  • Pediatric Dentistry
  • Florence, AL
National Provider Identifier
1861996035
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
3267 Issued in AL
Legal business name
PEDIATRIC DENTAL CLINIC
Practice address
162 Ana Dr
Florence, AL 35630-1759
Phone
(256) 766-0270
Fax
(256) 766-8328
NPI assigned
Mar 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Authorized official

Name
David MerrittNPI 1700921533
Title
Dr.
Phone
(256) 766-0270

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 3267 AL Primary

Addresses

Primary practice location

162 Ana Dr
Florence, AL 35630-1759

Mailing address

162 Ana Dr
Florence, AL 35630-1759
Phone (256) 766-0270

National Provider Directory

National Provider Directory

Locations

162 Ana Dr
Florence, AL 35630
Phone (256) 766-0270

Practitioners & affiliated clinicians

Practitioners 2

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": "1521590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1861996035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 ANA DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301759",
            "telephone_number": "256-766-0270",
            "fax_number": "256-766-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 ANA DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301759",
            "telephone_number": "256-766-0270",
            "fax_number": "256-766-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "256-766-0270"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "3267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.