Active NPI
Mountain View Dental LLC
- Dentist
- Acworth, GA
National Provider Identifier
1043766322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9192
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Acworth, GA
- NPI 1013949114
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.