NPIMap

Organization Active NPI

Christine Eckel DDS PC

  • General Practice Dentistry
  • Woodstock, GA
National Provider Identifier
1154512911
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11307 Issued in GA
Legal business name
CHRISTINE ECKEL DDS PC
Practice address
10010 Highway 92
Suite 140
Woodstock, GA 30188-6427
Phone
(770) 517-2688
Fax
(770) 517-2860
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Dr. Ian Sturn, DDSNPI 1598968042
Title
Co Owner
Phone
(770) 517-2688

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 11307 GA Primary

Addresses

Primary practice location

10010 Highway 92
Suite 140
Woodstock, GA 30188-6427

Mailing address

10010 Highway 92
Suite 140
Woodstock, GA 30188-6427
Phone (770) 517-2688

Other names 1

  • Woodstock Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

10010 Highway 92
Ste 140
Woodstock, GA 30188
Phone (770) 517-2688

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": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1154512911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10010 HIGHWAY 92",
            "address_2": "SUITE 140",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301886427",
            "telephone_number": "770-517-2688",
            "fax_number": "770-517-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10010 HIGHWAY 92",
            "address_2": "SUITE 140",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301886427",
            "telephone_number": "770-517-2688",
            "fax_number": "770-517-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE ECKEL DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "STURN",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "770-517-2688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "11307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodstock Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.