NPIMap

Organization Active NPI

Indian Springs Pediatric Dentistry, L.L.C.

  • Pediatric Dentistry
  • Pelham, AL
National Provider Identifier
1881020857
Registry record updated Sep 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
INDIAN SPRINGS PEDIATRIC DENTISTRY, L.L.C.
Practice address
6496 Quail Run Dr
Pelham, AL 35124-3104
Phone
(205) 739-7773
NPI assigned
Sep 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2013

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

Authorized official

Name
Dr. Rosalynn Yvette Crawford-McKendall, D.D.S.NPI 1356597504
Title
Member
Phone
(205) 739-7773

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 Primary

Addresses

Primary practice location

6496 Quail Run Dr
Pelham, AL 35124-3104

Mailing address

6496 Quail Run Dr
Pelham, AL 35124-3104
Phone (205) 739-7773

National Provider Directory

National Provider Directory

Locations

6496 Quail Run Dr
Hoover, AL 35124
Phone (205) 739-7773

Practitioners & affiliated clinicians

Practitioners 1

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": "1379808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379808000000",
    "number": "1881020857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6496 QUAIL RUN DR",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351243104",
            "telephone_number": "205-739-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6496 QUAIL RUN DR",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351243104",
            "telephone_number": "205-739-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN SPRINGS PEDIATRIC DENTISTRY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-22",
        "last_updated": "2013-09-22",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD-MCKENDALL",
        "authorized_official_first_name": "ROSALYNN",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "205-739-7773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2013; 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.