Singing River Dentistry Treehouse Killen, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

SINGING RIVER DENTISTRY TREEHOUSE KILLEN, LLC

Practice address

1367 Highway 72
Killen, AL 35645-9136

Phone

(256) 272-3464

NPI assigned

Feb 15, 2022

Last updated

Jul 6, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Thomas Gardiner, DMD

Title

Owner

Phone

(256) 383-8037

Specialties & licenses 2

Addresses

Locations

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.

• Marikit Tongo Magkalas, DMD

  • General Practice Dentistry
  • Killen, AL
  • NPI 1861017279
  NPD

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1932854262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1367 HIGHWAY 72",
            "city": "KILLEN",
            "state": "AL",
            "postal_code": "356459136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1367 HIGHWAY 72",
            "city": "KILLEN",
            "state": "AL",
            "postal_code": "356459136",
            "telephone_number": "256-272-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINGING RIVER DENTISTRY TREEHOUSE KILLEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "GARDINER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-383-8037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathrine Schmidt
• Self Discovery
• Shoal Creek Dental
• Shoals Urgent Care
• Hannah Holden Sims, LMT4401
• Melody Leigh Smith, CRNP
• Erica Elizabeth Snoddy
• Jason Stricklin, ATC LAT
• Seth Swinea, DMD
• Steve E Wampler, M.D.

• Pediatric Dentistry in Killen, AL
• Providers in Killen, AL by specialty
• Pediatric Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.