NPIMap

Organization Active NPI

Dental Associates of Hampton Cove LLC

  • Dental Clinic/Center
  • Owens Cross Roads, AL
National Provider Identifier
1922514199
Registry record updated Dec 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D6202 Issued in AL
Legal business name
DENTAL ASSOCIATES OF HAMPTON COVE LLC
Practice address
6838 Highway 431 S Ste B
Owens Cross Roads, AL 35763-7201
Phone
(256) 536-8120
Fax
(256) 536-8154
NPI assigned
Dec 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2017

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

Authorized official

Name
Dr. Lorrie Brace Green, DMDNPI 1215319355
Title
Dentist/ Partner Owner
Phone
(915) 217-8763

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 D6202 AL Primary

Addresses

Primary practice location

6838 Highway 431 S Ste B
Owens Cross Roads, AL 35763-7201

Mailing address

6838B Highway 431 S Ste B
Owens Cross Roads, AL 35763-9224
Phone (256) 536-8120

National Provider Directory

National Provider Directory

Locations

6838 Highway 431 S
Ste B
Owens Cross Roads, AL 35763
Phone (256) 536-8120

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": "1513987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513987200000",
    "number": "1922514199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6838B HIGHWAY 431 S STE B",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357639224",
            "telephone_number": "256-536-8120",
            "fax_number": "256-536-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6838 HIGHWAY 431 S STE B",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357637201",
            "telephone_number": "256-536-8120",
            "fax_number": "256-536-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOCIATES OF HAMPTON COVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-23",
        "last_updated": "2017-12-23",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "LORRIE",
        "authorized_official_middle_name": "BRACE",
        "authorized_official_title_or_position": "DENTIST/ PARTNER OWNER",
        "authorized_official_telephone_number": "915-217-8763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "D6202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owens Cross Roads, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2017; 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.