NPIMap

Organization Active NPI

Dr. Bill Gramzinski, D.M.D., P.C.

  • Dentist
  • Covington, GA
National Provider Identifier
1134570591
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN011595 Issued in GA
Legal business name
DR. BILL GRAMZINSKI, D.M.D., P.C.
Practice address
3204 Mill St NE
Covington, GA 30014-2538
Phone
(770) 786-8111
NPI assigned
Jun 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Authorized official

Name
Dr. Bill Gramzinski, DMD
Title
Owner
Phone
(770) 786-8111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN011595 GA Primary

Addresses

Primary practice location

3204 Mill St NE
Covington, GA 30014-2538

Mailing address

3204 Mill St NE
Covington, GA 30014-2538
Phone (770) 786-8111

National Provider Directory

National Provider Directory

Locations

3204 Mill St NE
Covington, GA 30014
Phone (770) 786-8111

Practitioners & affiliated clinicians

Practitioners 2

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": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1134570591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 MILL ST NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142538",
            "telephone_number": "770-786-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 MILL ST NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142538",
            "telephone_number": "770-786-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BILL GRAMZINSKI, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "GRAMZINSKI",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-786-8111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN011595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.