NPIMap

Organization Active NPI

Orthodontic Care of Georgia

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Madison, GA
National Provider Identifier
1154555282
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
011309 Issued in GA
Legal business name
ORTHODONTIC CARE OF GEORGIA
Practice address
1690 Eatonton Rd
Madison, GA 30650-4628
Phone
(706) 342-7272
Fax
(706) 342-7747
NPI assigned
May 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2009

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

Authorized official

Name
Robert Zayas
Title
Manager
Phone
(706) 342-7272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 011309 GA Primary

Addresses

Primary practice location

1690 Eatonton Rd
Madison, GA 30650-4628

Mailing address

1828 Jonesboro Rd
McDonough, GA 30253-5960
Phone (678) 432-8505

Other names 1

  • Dr, Hector M. Bush, P.C. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Dr Hector M Bush PC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1690 Eatonton Rd
Madison, GA 30650
Phone (706) 342-7272

NPI Registry JSON

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241395200000",
    "number": "1154555282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 JONESBORO RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302535960",
            "telephone_number": "678-432-8505",
            "fax_number": "678-432-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 EATONTON RD",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306504628",
            "telephone_number": "706-342-7272",
            "fax_number": "706-342-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHODONTIC CARE OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-04",
        "last_updated": "2009-05-04",
        "status": "A",
        "authorized_official_last_name": "ZAYAS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "706-342-7272"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "011309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr, Hector M. Bush, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Madison, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; 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.