NPIMap

Organization Active NPI

Alabama Dental Professionals, P.C.

Doing business as Clairmont Cosmetic & Family Dentistry

  • General Practice Dentistry
  • Birmingham, AL
National Provider Identifier
1962858969
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ALABAMA DENTAL PROFESSIONALS, P.C.
Doing business as
Clairmont Cosmetic & Family Dentistry
Practice address
716 32ND St S
Birmingham, AL 35233-3500
Phone
(205) 326-8060
NPI assigned
May 9, 2016
Last updated
Jun 22, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
ALABAMA DENTAL PROFESSIONALS, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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

Authorized official

Name
Heather Pruemer
Title
Insurance/Credentialing
Phone
(217) 540-8434

Specialties & licenses 1

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

Addresses

Primary practice location

716 32ND St S
Birmingham, AL 35233-3500

Mailing address

716 32ND St S
Birmingham, AL 35233-3500

Other names 1

  • Clairmont Cosmetic & Family Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alabama Dental Professionals PC21 organizations share this tax ID, including this one
Part of
Alabama Dental Professionals PC

Other organizations with this tax ID 20

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

View all 20

Locations

716 32nd St S
Birmingham, AL 35233
Phone (205) 326-8060

Practitioners & affiliated clinicians

Practitioners 7

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": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466553600000",
    "number": "1962858969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 32ND ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352333500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 32ND ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352333500",
            "telephone_number": "205-326-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA DENTAL PROFESSIONALS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALABAMA DENTAL PROFESSIONALS, P.C.",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-06-22",
        "status": "A",
        "authorized_official_last_name": "PRUEMER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "INSURANCE/CREDENTIALING",
        "authorized_official_telephone_number": "217-540-8434"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clairmont Cosmetic & Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.