NPIMap

Organization Active NPI

Sand Mountain Dentistry, LLC

  • Dentist
  • Albertville, AL
National Provider Identifier
1952825523
Registry record updated Jul 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4797 Issued in AL
Legal business name
SAND MOUNTAIN DENTISTRY, LLC
Practice address
416 Martling Road
Albertville, AL 35951
Phone
(256) 891-1100
Fax
(256) 891-1160
NPI assigned
Jul 26, 2017
Last updated
Jul 26, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2017

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

Authorized official

Name
Thomas Allen Kirby, DDS
Title
Dentist/Owner
Phone
(256) 891-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4797 AL Primary

Addresses

Primary practice location

416 Martling Road
Albertville, AL 35951

Mailing address

P O Box 889
Albertville, AL 35950
Phone (256) 891-1100

National Provider Directory

National Provider Directory

Locations

416 Martling Rd
Albertville, AL 35951
Phone (256) 891-1100

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": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501027200000",
    "number": "1952825523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 889",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "35950",
            "telephone_number": "256-891-1100",
            "fax_number": "256-891-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 MARTLING ROAD",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "35951",
            "telephone_number": "256-891-1100",
            "fax_number": "256-891-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAND MOUNTAIN DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2017-07-26",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "256-891-1100",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "4797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.