NPIMap

Organization Active NPI

Methodist Home for the Aging

Doing business as Fair Haven Oral Health Center

  • Dental Clinic/Center
  • Irondale, AL
National Provider Identifier
1932650769
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
METHODIST HOME FOR THE AGING
Doing business as
Fair Haven Oral Health Center
Practice address
1424 Montclair Rd
Irondale, AL 35210-2208
Phone
(205) 951-1473
NPI assigned
Oct 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Regina Lawler
Title
VP, Director of Administrative Serv
Phone
(205) 731-3115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1424 Montclair Rd
Irondale, AL 35210-2208

Mailing address

1424 Montclair Rd
Irondale, AL 35210-2208
Phone (205) 951-1473

Other names 1

  • Fair Haven Oral Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Methodist Home for the Aging7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1932650769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 MONTCLAIR RD",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352102208",
            "telephone_number": "205-951-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 MONTCLAIR RD",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352102208",
            "telephone_number": "205-951-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST HOME FOR THE AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "LAWLER",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "VP, DIRECTOR OF ADMINISTRATIVE SERV",
        "authorized_official_telephone_number": "205-731-3115"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fair Haven Oral Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irondale, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.