Active NPI
Rodney L Givens, DDS
- Dentist
- Conyers, GA
National Provider Identifier
1043233190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN013448
- Practice address
- 1910 Highway 20 SE
Suite 100
Conyers, GA 30013-2022 - Phone
- (770) 602-4733
- Fax
- (770) 602-4736
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN013448 | GA | Primary |
Addresses
Primary practice location
1910 Highway 20 SE
Suite 100
Conyers, GA 30013-2022
Mailing address
1910 Highway 20 SE
Suite 100
Conyers, GA 30013-2022
Phone (770) 602-4733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151113000824 | GA | Order and Referring Only - Oral Surgery | 3072823483 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN013448 | GA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359072000000",
"number": "1043233190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 HIGHWAY 20 SE",
"address_2": "SUITE 100",
"city": "CONYERS",
"state": "GA",
"postal_code": "300132022",
"telephone_number": "770-602-4733",
"fax_number": "770-602-4736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 HIGHWAY 20 SE",
"address_2": "SUITE 100",
"city": "CONYERS",
"state": "GA",
"postal_code": "300132022",
"telephone_number": "770-602-4733",
"fax_number": "770-602-4736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIVENS",
"first_name": "RODNEY",
"middle_name": "L",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2013-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN013448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.