NPIMap

Organization Active NPI

Chelsea Family Dentistry, PC

  • General Practice Dentistry
  • Chelsea, AL
National Provider Identifier
1992827885
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4851 Issued in AL
Legal business name
CHELSEA FAMILY DENTISTRY, PC
Practice address
300 Jade Park,
Ste 302
Chelsea, AL 35043
Phone
(205) 678-2096
Fax
(205) 678-2098
NPI assigned
Apr 4, 2007
Last updated
Dec 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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

Authorized official

Name
Dr. L. Michelle Jones, DMD
Title
DMD
Phone
(205) 678-2096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4851 AL Primary

Addresses

Primary practice location

300 Jade Park,
Ste 302
Chelsea, AL 35043

Mailing address

300 Jade Park,
Ste 302
Chelsea, AL 35043
Phone (205) 678-2096

Other identifiers 2

IdentifierTypeStateIssuer
5299311090MedicaidAL
348510OtherALUNITED CONCORDIA

National Provider Directory

National Provider Directory

Locations

300 Jade Park
#302
Chelsea, AL 35043
Phone (205) 678-2096

Practitioners & affiliated clinicians

Practitioners 2

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": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1992827885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 JADE PARK,",
            "address_2": "STE 302",
            "city": "CHELSEA",
            "state": "AL",
            "postal_code": "35043",
            "telephone_number": "205-678-2096",
            "fax_number": "205-678-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 JADE PARK,",
            "address_2": "STE 302",
            "city": "CHELSEA",
            "state": "AL",
            "postal_code": "35043",
            "telephone_number": "205-678-2096",
            "fax_number": "205-678-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELSEA FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "L.",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "205-678-2096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5299311090",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "348510",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.