VITAL SMILES ALABAMA PC (NPI# 1134421746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134421746 |
| Entity Type | Organization |
| Organization Name | VITAL SMILES ALABAMA PC |
| Other Organization Name | DENTAID DENTAL CENTER PC |
| Practice Address |
2727 Pleasant Valley Rd Mobile AL 36606-2162 |
| Mailing Address |
1900 Crestwood Blvd Suite 211 Irondale AL 35210-2034 |
| Practice Telephone | 2514735705 |
| Mailing Telephone | 2052716851 |
| Mailing Fax Number | 2052716836 |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |
| Authorized Official Name | DR. GEORGE DAVID JOHNSON JR. (PRESIDENT) |
| Authorized Official Telephone | 2052716851 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | 4794 | AL | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| Dentaid Dental Center PC | Former Legal Business Name - Organization |
| Street Address |
2727 PLEASANT VALLEY RD |
| City | MOBILE |
| State | AL |
| Zip Code | 36606-2162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316088537 | Dentaid Dental Center PC | Dentist | 2727 Pleasant Valley Rd, Mobile, AL 36606-2162 | 2007-02-09 |
| 1164989208 | Vital Smiles Alabama II PC | Dentist | 2727 Pleasant Valley Rd, Mobile, AL 36606-2162 | 2019-02-25 |
| 1841640695 | Joshua Rabbit | Dentist | 2727 Pleasant Valley Rd, Mobile, AL 36606-2162 | 2016-06-13 |
| 1144584798 | Brittney Fain Allgood | Dentist | 2727 Pleasant Valley Rd, Mobile, AL 36606-2162 | 2012-06-28 |
| 1205194297 | Vital Smiles Alabama, P. C. | Dentist | 2727 Pleasant Valley Rd, Mobile, AL 36606-2162 | 2012-04-26 |
| 1598053639 | Tania Truter Ricciardone | Dentist | 2727 Pleasant Valley Rd, Mobile, AL 36606-2162 | 2011-07-11 |
| 1720374630 | Corey L Ford | Dentist | 2727 Pleasant Valley Rd, Mobile, AL 36606-2162 | 2011-06-20 |
| 1558593855 | George Patterson Shedd IIi | Dentist | 2727 Pleasant Valley Rd, Mobile, AL 36606-2162 | 2009-08-20 |
| 1679614804 | Warren P Waters | Dentist | 2727 Pleasant Valley Rd, Mobile, AL 36606-2162 | 2007-02-09 |
| 1700927944 | Thuy T Mai | Dentist | 2727 Pleasant Valley Rd, Mobile, AL 36606-2162 | 2007-02-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216388 | Kaitlyn Culotta Dozier | Student in an Organized Health Care Education/Training Program | 936 Grant Park Drive, Mobile, AL 36606 | 2020-08-18 |
| 1902466758 | Gulf Coast Totalcare | Case Management | 3280 Dauphin Street, Building C, Suite 1, Mobile, AL 36606 | 2019-06-14 |
| 1023581246 | Elizabeth Fair | Psychologist | 3168 Midtown Park S Ste E, Mobile, AL 36606 | 2019-01-10 |
| 1962987420 | Asra Bashir | Pharmacist | 101 East Interstate 65 Service Rd S, Mobile, AL 36606 | 2018-10-01 |
| 1902398274 | Tunisia London | Social Worker | 601 Bel Air Blvd Ste 411, Mobile, AL 36606 | 2018-06-03 |
| 1962925677 | Tasheka Janine Scott I | Nurse's Aide | 629 Crenshaw Street, Mobile, AL 36606 | 2017-07-25 |
| 1295128189 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1450 Tingle Circle West, Mobile, AL 36606 | 2015-03-17 |
| 1437441623 | Julia Marco Williams | Counselor | 605 Bel Air Blvd Ste 33, Mobile, AL 36606 | 2011-05-06 |
| 1235363516 | Jenny M Neese | Dietitian, Registered | 2504 Dauphin Street, Suite J, Mobile, AL 36606 | 2009-05-14 |
| 1609000223 | Bay Area Nutrition, Inc | Dietitian, Registered | 2029-b Airport Blvd, Suite 195, Mobile, AL 36606 | 2009-05-11 |
| Find all providers in zip 36606 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801829403 | Honesty Medication Therapy Management | Health Maintenance Organization | 800 Downtowner Blvd Ste 106, Mobile, AL 36609-5416 | 2006-07-08 |
| 1871890772 | Neil R. Harris | Health Maintenance Organization | 750 Downtowner Loop W, Suite B, Mobile, AL 36609-5528 | 2011-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801306626 | Alabama Select Network, LLC | Health Maintenance Organization | 3008 7th Ave S, Birmingham, AL 35233-3503 | 2017-10-06 |
| 1275067969 | Elizabeth Henderson | Health Maintenance Organization | 102 W Louisville Ave, Atmore, AL 36502-1710 | 2017-04-19 |
| 1619321049 | Heather Hight | Health Maintenance Organization | 964 Berrywood Dr, Gardendale, AL 35071-2532 | 2016-04-22 |
| 1144698358 | Alpha & Omega Health Care Providers | Health Maintenance Organization | 645 Wynn Dr Nw, Unit 5892, Huntsville, AL 35814-6001 | 2015-09-03 |
| 1316384464 | Smiley Health Group LLC | Health Maintenance Organization | 5780 Hyde Park Dr, Montgomery, AL 36117-3031 | 2013-05-30 |
| 1023358660 | Southeastern Medical Management Associates | Health Maintenance Organization | 6713 Old Leeds Rd, Montgomery, AL 36117-2407 | 2013-02-19 |
| 1881939510 | Hubbard Family Home Health Care LLC | Health Maintenance Organization | 904 23rd Ct Nw, Birmingham, AL 35215-3154 | 2012-12-06 |
| 1619240173 | Your Home Advantage Inc. | Health Maintenance Organization | 1855 Data Drive, Hoover, AL 35244 | 2012-02-14 |
| 1821202615 | Diagnostic Health Corporation | Health Maintenance Organization | 2764 Pelham Pkwy, Pelham, AL 35124-1702 | 2007-05-10 |
| 1215072806 | Healthspring of Alabama, Inc. | Health Maintenance Organization | Two Perimeter Park South, Suite 300w, Birmingham, AL 35243-3207 | 2007-02-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.