Organization Active NPI

Chapel Hill Orthodontics

  • Dental Clinic/Center
  • Decatur, GA
National Provider Identifier
1104248137
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
012709 Issued in GA
Legal business name
CHAPEL HILL ORTHODONTICS
Practice address
4919 Flat Shoals Pkwy
210
Decatur, GA 30034-5210
Phone
(678) 689-0371
NPI assigned
Jan 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Authorized official

Name
Allise M Calloway, D.D.S.NPI 1578541736
Title
Owner/Orthodontist
Phone
(678) 418-3000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 012709 GA Primary

Addresses

Primary practice location

4919 Flat Shoals Pkwy
210
Decatur, GA 30034-5210

Mailing address

4919 Flat Shoals Pkwy
210
Decatur, GA 30034-5210
Phone (678) 689-0371

National Provider Directory

National Provider Directory

Locations

4919 Flat Shoals Pkwy
Ste 210
Decatur, GA 30034
Phone (678) 418-3000

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": "1389312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389312000000",
    "number": "1104248137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4919 FLAT SHOALS PKWY",
            "address_2": "210",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300345210",
            "telephone_number": "678-689-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4919 FLAT SHOALS PKWY",
            "address_2": "210",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300345210",
            "telephone_number": "678-689-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAPEL HILL ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-01-10",
        "status": "A",
        "authorized_official_last_name": "CALLOWAY",
        "authorized_official_first_name": "ALLISE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/ORTHODONTIST",
        "authorized_official_telephone_number": "678-418-3000",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "012709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.