West Cobb Orthodontics LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN014542 Issued in GA

Legal business name

WEST COBB ORTHODONTICS LLC

Practice address

1690 Stone Village LN NW Ste 910
Kennesaw, GA 30152-7714

Phone

(678) 401-4321

NPI assigned

Oct 19, 2016

Organization subpart

No

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

Authorized official

Name

Ruchir Patel, DMD

Title

President

Phone

(734) 709-3730

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1114478609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 STONE VILLAGE LN NW STE 910",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301527714",
            "telephone_number": "678-401-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 STONE VILLAGE LN NW STE 910",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301527714",
            "telephone_number": "678-401-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COBB ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RUCHIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-709-3730",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "DN014542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellstar North Cobb Pediatrics, LLC
• Wellstar Pediatrics at Brookstone, LLC
• Wellstar Urgent Care in Kennesaw, LLC
• Wellstreet of Georgia PC
• Aubree Welsh, APRN, WHNP-BC
• Brian West, CAA
• Evelyn C West, SPECIALIST
• Madison Taylor West
• Carole Lynne Westbrook, LPC
• Livi S Westbrook

• Orthodontics and Dentofacial Orthopedics Dentistry in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.