NPIMap

Organization Active NPI

Stonecreek Dental of Alabama

  • Dental Clinic/Center
  • Irondale, AL
National Provider Identifier
1952062838
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
STONECREEK DENTAL OF ALABAMA
Practice address
4616 Montevallo Rd
Irondale, AL 35210-3104
Phone
(205) 957-0106
NPI assigned
Jan 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Authorized official

Name
Veronica Jackson
Title
Revenue Cycle Manager
Phone
(205) 538-5464

Specialties & licenses 1

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

Addresses

Primary practice location

4616 Montevallo Rd
Irondale, AL 35210-3104

Mailing address

4616 Montevallo Rd Ste 200
Irondale, AL 35210-3104
Phone (205) 957-0106

Other identifiers 1

IdentifierTypeStateIssuer
1234OtherALNONE

National Provider Directory

National Provider Directory
Tax ID family
Stonecreek Dental of Alabama26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1952062838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 MONTEVALLO RD STE 200",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352103104",
            "telephone_number": "205-957-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4616 MONTEVALLO RD",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352103104",
            "telephone_number": "205-957-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONECREEK DENTAL OF ALABAMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "205-538-5464"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "1234",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 4, 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.