NPIMap

Organization Active NPI

Midtown Dental LLC

  • Dentist
  • Huntsville, AL
National Provider Identifier
1952844656
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5665 Issued in AL
Legal business name
MIDTOWN DENTAL LLC
Practice address
100 Providence Main St NW Ste C
Huntsville, AL 35806-4827
Phone
(256) 653-9830
NPI assigned
Nov 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Authorized official

Name
Dr. David Judd AllenNPI 1861586513
Title
President
Phone
(601) 594-6323

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5665 AL Primary

Addresses

Primary practice location

100 Providence Main St NW Ste C
Huntsville, AL 35806-4827

Mailing address

100 Providence Main St NW Ste C
Huntsville, AL 35806-4827
Phone (256) 653-9830

National Provider Directory

National Provider Directory

Locations

100 Providence Main St NW
Ste C
Huntsville, AL 35806
Phone (256) 653-9830

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1952844656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PROVIDENCE MAIN ST NW STE C",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358064827",
            "telephone_number": "256-653-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PROVIDENCE MAIN ST NW STE C",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358064827",
            "telephone_number": "256-653-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JUDD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-594-6323",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AL",
            "license": "5665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.