Organization Active NPI

CD Village

  • Pediatric Dentistry
  • Roswell, GA
National Provider Identifier
1154231447
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
CD VILLAGE
Practice address
9420 Willeo Rd Ste 104
Roswell, GA 30075-6773
Phone
(678) 352-8108
Fax
(678) 809-2971
NPI assigned
Sep 9, 2026
Last updated
Sep 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Authorized official

Name
Priya A Madhiwala, DMD
Title
Owner
Phone
(678) 352-8108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

9420 Willeo Rd Ste 104
Roswell, GA 30075-6773

Mailing address

9420 Willeo Rd Ste 104
Roswell, GA 30075-6773
Phone (678) 352-8108

National Provider Directory

National Provider Directory

Locations

9420 Willeo Rd
Ste 104
Roswell, GA 30075
Phone (678) 352-9708

NPI Registry JSON

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

{
    "created_epoch": "1788912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1154231447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9420 WILLEO RD STE 104",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300756773",
            "telephone_number": "678-352-8108",
            "fax_number": "678-809-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 WILLEO RD STE 104",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300756773",
            "telephone_number": "678-352-8108",
            "fax_number": "678-809-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CD VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "MADHIWALA",
        "authorized_official_first_name": "PRIYA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-352-8108",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.