Pediatrics at Twilight,LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

22426 Issued in AL

Legal business name

PEDIATRICS AT TWILIGHT,LLC

Practice address

128 Mitylene Park LN
Montgomery, AL 36117-3758

Phone

(334) 220-7988

Fax

(334) 279-8214

NPI assigned

Jul 13, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Norma B Davis, MD

Title

Owner

Phone

(334) 220-7988

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1912219387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 MITYLENE PARK LN",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173758",
            "telephone_number": "334-220-7988",
            "fax_number": "334-279-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MITYLENE PARK LN",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173758",
            "telephone_number": "334-220-7988",
            "fax_number": "334-279-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS AT TWILIGHT,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-13",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "NORMA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-220-7988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "22426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630902059",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krista Pedersen, PHARM.D.
• Pediatric Healthcare, LLC
• Pediatric Specialists of Montgomery, L.L.C.
• Pediatric Therapy Services LLC
• Pediatrics After Hours Care LLC
• Emily Pell, MA CCC-SLP
• Ann Pemberton
• Linda Pena-Resto, LISW-CP
• Victor E Pena, MD
• William Henry Pendleton, DMD

• Pediatrics Physician in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.