Active NPI
Adams Family and Cosmetic Dentistry
- General Practice Dentistry
- Columbus, GA
National Provider Identifier
1053615542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 012383
- Legal business name
- ADAMS FAMILY AND COSMETIC DENTISTRY
- Practice address
- 5605 Princeton Ave
Suite B
Columbus, GA 31904-9078 - Phone
- (706) 323-8811
- Fax
- (706) 323-8824
- NPI assigned
- Dec 27, 2010
- Last updated
- Dec 27, 2010
- 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
- Dr. Matthew R Adams, D.M.D.
- Title
- Owner
- Phone
- (706) 323-8811
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 012383 | GA | Primary |
Addresses
Primary practice location
5605 Princeton Ave
Suite B
Columbus, GA 31904-9078
Mailing address
5605 Princeton Ave
Suite B
Columbus, GA 31904-9078
Phone (706) 323-8811
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00935811A | Medicaid | GA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Columbus, GA
- NPI 1811001092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1293408000000",
"number": "1053615542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5605 PRINCETON AVE",
"address_2": "SUITE B",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319049078",
"telephone_number": "706-323-8811",
"fax_number": "706-323-8824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5605 PRINCETON AVE",
"address_2": "SUITE B",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319049078",
"telephone_number": "706-323-8811",
"fax_number": "706-323-8824"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADAMS FAMILY AND COSMETIC DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-27",
"last_updated": "2010-12-27",
"status": "A",
"authorized_official_last_name": "ADAMS",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "706-323-8811",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "012383",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00935811A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.