NPIMap

Organization Active NPI

Shelby Pediatric Dentistry, PC

  • Pediatric Dentistry
  • Pelham, AL
National Provider Identifier
1962813188
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
5946 Issued in AL
Legal business name
SHELBY PEDIATRIC DENTISTRY, PC
Practice address
2490 Pelham Parkway
Pelham, AL 35124
Phone
(205) 419-7444
NPI assigned
May 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2014

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

Authorized official

Name
Dr. Richard Turner Baxter, D.M.D.NPI 1700151164
Title
Owner / Dentist
Phone
(205) 876-3989

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 5946 AL Primary

Addresses

Primary practice location

2490 Pelham Parkway
Pelham, AL 35124

Mailing address

123 N Lake Dr
Birmingham, AL 35242-7020

National Provider Directory

National Provider Directory

Locations

2490 Pelham Pkwy
Pelham, AL 35124
Phone (205) 419-7444

Practitioners & affiliated clinicians

Practitioners 4

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": "1399593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399593600000",
    "number": "1962813188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 N LAKE DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352427020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 PELHAM PARKWAY",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "35124",
            "telephone_number": "205-419-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY PEDIATRIC DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-09",
        "last_updated": "2014-05-09",
        "status": "A",
        "authorized_official_last_name": "BAXTER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "TURNER",
        "authorized_official_title_or_position": "OWNER / DENTIST",
        "authorized_official_telephone_number": "205-876-3989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "5946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; 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.