Organization Active NPI

Af Imaging & Diagnostics, Inc.

  • Dentist
  • Atlanta, GA
National Provider Identifier
1083957161
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
013092 Issued in GA
Legal business name
AF IMAGING & DIAGNOSTICS, INC.
Practice address
2460 Cumberland Pkwy SE
#210
Atlanta, GA 30339-4519
Phone
(770) 433-2414
NPI assigned
Mar 27, 2013
Last updated
Mar 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Authorized official

Name
Aaron Larsen, DDSNPI 1891841433
Title
Ceo
Phone
(770) 433-2414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 013092 GA Primary

Addresses

Primary practice location

2460 Cumberland Pkwy SE
#210
Atlanta, GA 30339-4519

Mailing address

2460 Cumberland Pkwy SE
#210
Atlanta, GA 30339-4519
Phone (770) 433-2414

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1083957161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 CUMBERLAND PKWY SE",
            "address_2": "#210",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303394519",
            "telephone_number": "770-433-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 CUMBERLAND PKWY SE",
            "address_2": "#210",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303394519",
            "telephone_number": "770-433-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AF IMAGING & DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-433-2414",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "013092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 27, 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.