NPIMap

Organization Active NPI

Heartland Dental Care of Georgia, P.C.

Doing business as MyNorthAtlantaDentist.com

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1134491657
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HEARTLAND DENTAL CARE OF GEORGIA, P.C.
Doing business as
MyNorthAtlantaDentist.com
Practice address
5252 Roswell Rd
Suite 105
Atlanta, GA 30342-1969
Phone
(404) 252-5252
Fax
(404) 252-1676
NPI assigned
Jan 30, 2012
Last updated
Jan 30, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
HEARTLAND DENTAL CARE OF GEORGIA, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Authorized official

Name
Kim Wilson
Title
Insurance/Credentialing
Phone
(217) 540-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5252 Roswell Rd
Suite 105
Atlanta, GA 30342-1969

Mailing address

5252 Roswell Rd
Suite 105
Atlanta, GA 30342-1969
Phone (404) 252-5252

Other names 1

  • MyNorthAtlantaDentist.com Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Georgia Dental Professionals PC72 organizations share this tax ID, including this one
Part of
Georgia Dental Professionals PC

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1134491657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 ROSWELL RD",
            "address_2": "SUITE 105",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421969",
            "telephone_number": "404-252-5252",
            "fax_number": "404-252-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5252 ROSWELL RD",
            "address_2": "SUITE 105",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421969",
            "telephone_number": "404-252-5252",
            "fax_number": "404-252-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND DENTAL CARE OF GEORGIA, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEARTLAND DENTAL CARE OF GEORGIA, P.C.",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "INSURANCE/CREDENTIALING",
        "authorized_official_telephone_number": "217-540-5100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyNorthAtlantaDentist.com",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 30, 2012; 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.