NPIMap

Organization Active NPI

My Kidz Dentist, PC

  • Pediatric Dentistry
  • Newnan, GA
National Provider Identifier
1154598712
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN013160 Issued in GA
Legal business name
MY KIDZ DENTIST, PC
Practice address
1741 Newnan Crossing Blvd E
Suite I
Newnan, GA 30265-1599
Phone
(770) 253-4488
Fax
(770) 253-4498
NPI assigned
May 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Authorized official

Name
Dr. Lona Bibbs, D.D.S.NPI 1770506099
Title
President
Phone
(770) 253-4488

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X DN013160 GA Primary

Addresses

Primary practice location

1741 Newnan Crossing Blvd E
Suite I
Newnan, GA 30265-1599

Mailing address

1741 Newnan Crossing Blvd E
Suite I
Newnan, GA 30265-1599
Phone (770) 253-4488

National Provider Directory

National Provider Directory

Locations

1741 Newnan Crossing Blvd E
Ste I
Newnan, GA 30265
Phone (770) 253-4488

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": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1154598712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 NEWNAN CROSSING BLVD E",
            "address_2": "SUITE I",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302651599",
            "telephone_number": "770-253-4488",
            "fax_number": "770-253-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 NEWNAN CROSSING BLVD E",
            "address_2": "SUITE I",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302651599",
            "telephone_number": "770-253-4488",
            "fax_number": "770-253-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY KIDZ DENTIST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "BIBBS",
        "authorized_official_first_name": "LONA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-253-4488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN013160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.