Cartersville Dentist Office, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CARTERSVILLE DENTIST OFFICE, PC

Doing business as

Cartersville Dentist Office

Practice address

50 Main Street Market PL SE
Suite 500
Cartersville, GA 30121-3309

Phone

(678) 203-3461

Fax

(678) 916-8404

NPI assigned

Jan 4, 2017

Last updated

Jan 4, 2017By 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

Dr. Katie L McCann, DDS

Title

Owner

Phone

(678) 203-3461

Specialties & licenses 1

Addresses

Other names 1

• Cartersville Dentist Office Doing business as

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.

• Evan Joseph, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Atlanta, GA
  • NPI 1578126793
  NPD (past)

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1063957744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MAIN STREET MARKET PL SE",
            "address_2": "SUITE 500",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301213309",
            "telephone_number": "678-203-3461",
            "fax_number": "678-916-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTERSVILLE DENTIST OFFICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "MCCANN",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-203-3461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cartersville Dentist Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cristina Michelle Caro, MBA, RD, LD
• Amanda Jordan Carter, MA, LPC
• Cynthia Carter, RN
• Cartersville Center, LLC (Cartersville Comprehensive Treatment Center)
• Cartersville Crossing of Journey LLC
• Cartersville Diagnostic Center
• Cartersville Diagnostics LLC (Atrium Open MRI of Cartersville)
• Cartersville Dialysis Spa LLC
• Cartersville Emergency Physicians, LLC
• Cartersville Endodontics LLC

• General Practice Dentistry in Cartersville, GA
• Providers in Cartersville, 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 Jan 4, 2017; 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.