Organization Active NPI

Mountain View Dental LLC

  • Dentist
  • Acworth, GA
National Provider Identifier
1043766322
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9192 Issued in GA
Legal business name
MOUNTAIN VIEW DENTAL LLC
Practice address
2320 Baker Rd NW
Suite B
Acworth, GA 30101-6842
Phone
(770) 429-8989
Fax
(770) 429-1997
NPI assigned
Aug 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Authorized official

Name
Mrs. Helen Deanne Rhinesmith
Title
Office Manager
Phone
(770) 429-8989

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 9192 GA Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

2320 Baker Rd NW
Suite B
Acworth, GA 30101-6842

Mailing address

2320 Baker Road
Suite B
Acworth, GA 30101
Phone (770) 429-8989

National Provider Directory

National Provider Directory

Locations

2320 Baker Rd NW
Ste B
Acworth, GA 30101
Phone (770) 429-8989

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1043766322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 BAKER ROAD",
            "address_2": "SUITE B",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "30101",
            "telephone_number": "770-429-8989",
            "fax_number": "770-429-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 BAKER RD NW",
            "address_2": "SUITE B",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301016842",
            "telephone_number": "770-429-8989",
            "fax_number": "770-429-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "RHINESMITH",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "DEANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-429-8989",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "9192",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.