Gocd Lawrenceville LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GOCD LAWRENCEVILLE LLC

Practice address

2087 Cruse Rd Ste B
Lawrenceville, GA 30044-2345

Phone

(770) 845-2424

Fax

(706) 558-3909

NPI assigned

Sep 28, 2022

Last updated

Sep 28, 2022By 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. Justin Chong, DMDNPI 1023337094

Title

Managing Member

Phone

(770) 854-2424

Specialties & licenses 4

Addresses

Electronic endpoints 1

Locations

Practitioners 3

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.

• Justin Weitseng Chong, DMD

  • Pediatric Dentistry
  • Milton, GA
  • NPI 1023337094

  General Practice

  NPD Authorized official
• Shilpa Lala, DMD

  • Dentist
  • Lawrenceville, GA
  • NPI 1407000839
  NPD
• Jay Vijendra Patel, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lawrenceville, GA
  • NPI 1528298080

  General Practice

  NPD

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1083338685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2087 CRUSE RD STE B",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300442345",
            "telephone_number": "770-845-2424",
            "fax_number": "706-558-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2087 CRUSE RD STE B",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300442345",
            "telephone_number": "770-845-2424",
            "fax_number": "706-558-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOCD LAWRENCEVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "CHONG",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "770-854-2424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info.lawrenceville@gaorthopedo.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2087 Cruse Rd Ste B",
            "city": "Lawrenceville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300442345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Nicole Gober, CEO
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• Ramona J Goetz, CNM
• Jennifer Louise Goff, LMSW
• Amy Goh, DO

• Dentist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.