Organization Active NPI

Aica Orthopedics, P. C.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Atlanta, GA
National Provider Identifier
1073153409
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
AICA ORTHOPEDICS, P. C.
Practice address
755 Mount Vernon Hwy NE Ste 305
Atlanta, GA 30328-4290
Phone
(678) 701-2225
Fax
(678) 701-2226
NPI assigned
Jan 14, 2020
Last updated
Jan 14, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
AICA ORTHOPEDICS, P. C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Authorized official

Name
Keri Laniado
Title
Accountant
Phone
(678) 701-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X Primary

Addresses

Primary practice location

755 Mount Vernon Hwy NE Ste 305
Atlanta, GA 30328-4290

Mailing address

PO Box 674508
Marietta, GA 30006-0076
Phone (678) 701-2225

Other names 1

  • R01 MOUNT VERNON Other name

National Provider Directory

National Provider Directory
Tax ID family
Aica Orthopedics PC25 organizations share this tax ID, including this one
Part of
Aica Orthopedics PC

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1073153409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674508",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300060076",
            "telephone_number": "678-701-2225",
            "fax_number": "678-701-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MOUNT VERNON HWY NE STE 305",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284290",
            "telephone_number": "678-701-2225",
            "fax_number": "678-701-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AICA ORTHOPEDICS, P. C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AICA ORTHOPEDICS, P. C.",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "LANIADO",
        "authorized_official_first_name": "KERI",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "678-701-2225"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R01 MOUNT VERNON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.