NPI Code Detail JSON Logo

1982978490 NPI number — ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C.

NPI Number: 1982978490
Health Care Provider/Practitioner: ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C.

Information about “1982978490” NPI (ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C.) exists in 1982978490 in HTML format HTML  |  1982978490 in plain Text format TXT  |  1982978490 in PDF (Portable Document Format) PDF  |  1982978490 in an XML format XML  formats.

NPI Number : 1982978490 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982978490",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3322 W END AVE STE 400",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NASHVILLE",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37203-6805",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "629-999-5014",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1911 SKYLAND BLVD E",
    "SecondLinePracticeLocationAddress": "SUITE A3",
    "PracticeLocationAddressCityName": "TUSCALOOSA",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "35405",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "205-469-0444",
    "PracticeLocationAddressFaxNumber": "205-469-0433",
    "EnumerationDate": "03/01/2012",
    "LastUpdateDate": "12/30/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "EDMONDSON",
    "AuthorizedOfficialFirstName": "SHERRIE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MANAGER, LICENSING & CREDENTIALING",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "629-999-5014",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "152W00000X",
        "TaxonomyName": "Optometrist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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