Organization Active NPI

Jordan a. Hebert, DMD, LLC

  • Dental Clinic/Center
  • Hoover, AL
National Provider Identifier
1982279295
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JORDAN A. HEBERT, DMD, LLC
Practice address
5190 Medford Dr # 100
Hoover, AL 35244-2102
Phone
(205) 582-8373
NPI assigned
May 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Authorized official

Name
Mr. Jeffry Paul Hebert Jr.
Title
Spouse of Owner
Phone
(205) 229-6268

Specialties & licenses 1

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

Addresses

Primary practice location

5190 Medford Dr # 100
Hoover, AL 35244-2102

Mailing address

5190 Medford Dr # 100
Hoover, AL 35244-2102

National Provider Directory

National Provider Directory

Locations

5190 Medford Dr
#100
Hoover, AL 35244
Phone (205) 582-8373

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1982279295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5190 MEDFORD DR # 100",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352442102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 MEDFORD DR # 100",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352442102",
            "telephone_number": "205-582-8373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN A. HEBERT, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "HEBERT",
        "authorized_official_first_name": "JEFFRY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "SPOUSE OF OWNER",
        "authorized_official_telephone_number": "205-229-6268",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.