Beautiful Smiles by Design

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14848 Issued in GA

Legal business name

BEAUTIFUL SMILES BY DESIGN

Practice address

805 Red Bud Rd NE
Calhoun, GA 30701-1968

Phone

(706) 625-8888

Fax

(205) 718-8643

NPI assigned

May 15, 2018

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kudzai Chikwava, DDS

Title

Owner

Phone

(706) 625-8888

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Chinmaya Mishra, DDS

  • Dentist
  • Calhoun, GA
  • NPI 1518443092
  NPD (past)

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1053801134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 RED BUD RD NE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307011968",
            "telephone_number": "706-625-8888",
            "fax_number": "205-718-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 RED BUD RD NE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307011968",
            "telephone_number": "706-625-8888",
            "fax_number": "205-718-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTIFUL SMILES BY DESIGN",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "CHIKWAVA",
        "authorized_official_first_name": "KUDZAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-625-8888",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "14848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERICAL INSURANCE",
            "identifier": "1093943391",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pablo E Balboa-Marciack, MD
• Julie Christine Balthaser, APRN
• Daniel Malcolm Barfield, D.O.
• Amanda Michelle Bartley, CSFA
• Alycia Bauch, MS, CCC-SLP
• Catherine A. Becker-Prather, N.P.C.
• Benchmark Healthcare Services LLC
• Kyle Trott Benge, CRNA
• Ira Bennett
• Kevin Andrew Benton, PHARM.D.

• General Practice Dentistry in Calhoun, GA
• Providers in Calhoun, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.