Organization Active NPI

Shelby Dental Center

  • General Practice Dentistry
  • Calera, AL
National Provider Identifier
1962830646
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5208 Issued in AL
Legal business name
SHELBY DENTAL CENTER
Practice address
101 Highway 87
BLDG 300
Calera, AL 35040-7209
Phone
(205) 664-1190
Fax
(205) 621-6212
NPI assigned
Oct 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Authorized official

Name
Ashley Ford, DMD
Title
Dentist
Phone
(205) 664-1190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5208 AL Primary

Addresses

Primary practice location

101 Highway 87
BLDG 300
Calera, AL 35040-7209

Mailing address

P O Box 1105
101 Hwy 87, BLDG
Calera, AL 35040-7209
Phone (205) 664-1190

Other names 1

  • Shelby Denture Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

101 Highway 87
Bldg 300
Calera, AL 35040
Phone (205) 664-1190

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": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1962830646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 1105",
            "address_2": "101 HWY 87, BLDG",
            "city": "CALERA",
            "state": "AL",
            "postal_code": "350407209",
            "telephone_number": "205-664-1190",
            "fax_number": "205-621-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HIGHWAY 87",
            "address_2": "BLDG 300",
            "city": "CALERA",
            "state": "AL",
            "postal_code": "350407209",
            "telephone_number": "205-664-1190",
            "fax_number": "205-621-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "205-664-1190",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shelby Denture Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Calera, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.