Individual provider Active NPI

Robert Bernard Ward Jr., D.D.S.

  • General Practice Dentistry
  • Athens, GA
National Provider Identifier
1073554051
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN008098 Issued in GA
Practice address
1500 Oglethorpe Ave
Suite 2300
Athens, GA 30606-2188
Phone
(706) 546-8407
Fax
(706) 546-8409
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN008098 GA Primary

Addresses

Primary practice location

1500 Oglethorpe Ave
Suite 2300
Athens, GA 30606-2188

Mailing address

1500 Oglethorpe Ave
Suite 2300
Athens, GA 30606-2188
Phone (706) 546-8407

Other identifiers 1

IdentifierTypeStateIssuer
19NCBQNOtherGAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Sleep Medicine of Ga PC General Practice CurrentSince Sep 1, 1982 Accepting new patients

Locations

1500 Oglethorpe Ave
Ste 2300
Athens, GA 30606
Phone (706) 546-8407

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1073554051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 OGLETHORPE AVE",
            "address_2": "SUITE 2300",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062188",
            "telephone_number": "706-546-8407",
            "fax_number": "706-546-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 OGLETHORPE AVE",
            "address_2": "SUITE 2300",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062188",
            "telephone_number": "706-546-8407",
            "fax_number": "706-546-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "ROBERT",
        "middle_name": "BERNARD",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN008098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "19NCBQN",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.