Organization Active NPI

Ted Aspes D.D.S. P.C.

  • Pediatric Dentistry
  • Smyrna, GA
National Provider Identifier
1093866907
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
TED ASPES D.D.S. P.C.
Practice address
500 Concord Rd SE
Smyrna, GA 30082-2605
Phone
(770) 436-0802
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ted Aspes, D.D.S.
Title
President
Phone
(770) 436-0802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

500 Concord Rd SE
Smyrna, GA 30082-2605

Mailing address

500 Concord Rd SE
Smyrna, GA 30082-2605
Phone (770) 436-0802

Other identifiers 1

IdentifierTypeStateIssuer
00044239AMedicaidGA

National Provider Directory

National Provider Directory

Locations

500 Concord Rd SE
Smyrna, GA 30082
Phone (770) 436-0802

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093866907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CONCORD RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300822605",
            "telephone_number": "770-436-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CONCORD RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300822605",
            "telephone_number": "770-436-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TED ASPES D.D.S. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ASPES",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-436-0802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00044239A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.