Organization Active NPI

Secd Midtown Mobile

  • Dental Clinic/Center
  • Mobile, AL
National Provider Identifier
1982116943
Registry record updated Oct 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SECD MIDTOWN MOBILE
Practice address
1754 Government St
Mobile, AL 36604-1111
Phone
(251) 471-1516
NPI assigned
Oct 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2017

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

Authorized official

Name
Heather Brittany McDonald
Title
Regional Director
Phone
(205) 434-7115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1754 Government St
Mobile, AL 36604-1111

Mailing address

4320 Montevallo Rd
Mountain BRK, AL 35213-2722
Phone (205) 434-7115

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509408000000",
    "number": "1982116943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 MONTEVALLO RD",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352132722",
            "telephone_number": "205-434-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1754 GOVERNMENT ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041111",
            "telephone_number": "251-471-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECD MIDTOWN MOBILE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-31",
        "last_updated": "2017-10-31",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "BRITTANY",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "205-434-7115"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.