NPIMap

Organization Active NPI

Cartersville Dental Group, P.C.

Doing business as Dr Karen Wise

  • Dentist
  • Cartersville, CA
National Provider Identifier
1154604361
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN010942 Issued in GA
Legal business name
CARTERSVILLE DENTAL GROUP, P.C.
Doing business as
Dr Karen Wise
Practice address
22 Felton Place
Cartersville, CA 30120
Phone
(770) 387-1277
Fax
(770) 387-2327
NPI assigned
Sep 23, 2011
Last updated
Sep 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Authorized official

Name
Dr. Karen P. Wise, DDSNPI 1508029984
Title
Owner
Phone
(770) 387-1277

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
Dentist 122300000X DN010942 GA Primary

Addresses

Primary practice location

22 Felton Place
Cartersville, CA 30120

Mailing address

22 Felton Place
Cartersville, CA 30120
Phone (770) 387-1277

Other names 1

  • Dr Karen Wise Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cartersville Dental Group PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

22 Felton Pl
Cartersville, GA 30120
Phone (770) 387-1277

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1154604361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 FELTON PLACE",
            "city": "CARTERSVILLE",
            "state": "CA",
            "postal_code": "30120",
            "telephone_number": "770-387-1277",
            "fax_number": "770-387-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 FELTON PLACE",
            "city": "CARTERSVILLE",
            "state": "CA",
            "postal_code": "30120",
            "telephone_number": "770-387-1277",
            "fax_number": "770-387-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTERSVILLE DENTAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-23",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-387-1277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN010942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Karen Wise",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.