NPIMap

Organization Active NPI

Grace Comprehensive Dentistry

  • Dentist
  • Vestavia, AL
National Provider Identifier
1982991790
Registry record updated Oct 1, 2013
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5261 Issued in AL
Legal business name
GRACE COMPREHENSIVE DENTISTRY
Practice address
1932 Laurel Rd
Suite 1a
Vestavia, AL 35216-1859
Phone
(205) 871-1229
NPI assigned
Jun 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Authorized official

Name
Dr. Victor Kyatt III
Title
President
Phone
(205) 871-1229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5261 AL Primary

Addresses

Primary practice location

1932 Laurel Rd
Suite 1a
Vestavia, AL 35216-1859

Mailing address

PO Box 660805
Birmingham, AL 35266-0805

National Provider Directory

National Provider Directory

Locations

1932 Laurel Rd
Ste 1A
Vestavia Hills, AL 35216
Phone (205) 823-6776

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380585600000",
    "number": "1982991790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660805",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352660805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 LAUREL RD",
            "address_2": "SUITE 1A",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352161859",
            "telephone_number": "205-871-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE COMPREHENSIVE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-30",
        "last_updated": "2013-10-01",
        "status": "A",
        "authorized_official_last_name": "KYATT",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-871-1229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AL",
            "license": "5261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

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