Kennesaw Mountain Dental Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013236 Issued in GA

Legal business name

KENNESAW MOUNTAIN DENTAL ASSOCIATES

Practice address

1815 Old 41 Hwy
Ste 310
Kennesaw, GA 30152

Phone

(770) 425-4100

Fax

(770) 425-4111

NPI assigned

Sep 12, 2017

Organization subpart

Yes

Parent organization

KENNESAW MOUNTAIN DENTAL ASSOCIATESAs reported in NPPES

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

Authorized official

Name

Dr. Hamir Contractor, DDS

Title

Owner

Phone

(770) 425-4100

Specialties & licenses 1

Addresses

Part of

Kennesaw Mountain Dental Associates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katie B Riggins, DMD

  • Dentist
  • Kennesaw, GA
  • NPI 1689313124
  NPD (past)

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505174400000",
    "number": "1184143059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 OLD 41 HWY",
            "address_2": "STE 310",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "30152",
            "telephone_number": "770-425-4100",
            "fax_number": "770-425-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 OLD 41 HWY",
            "address_2": "STE 310",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "30152",
            "telephone_number": "770-425-4100",
            "fax_number": "770-425-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNESAW MOUNTAIN DENTAL ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KENNESAW MOUNTAIN DENTAL ASSOCIATES",
        "enumeration_date": "2017-09-12",
        "last_updated": "2017-09-12",
        "status": "A",
        "authorized_official_last_name": "CONTRACTOR",
        "authorized_official_first_name": "HAMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-425-4100",
        "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": "DN013236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennesaw Healthcare Services, LLC (Treatment Center of Kennesaw)
• Kennesaw Luxary Hair Boutique
• Kennesaw Medical Supplies Inc (Mechanical Equipment Aids Inc)
• Kennesaw Medical Supply
• Kennesaw Modern Dentistry, PC (Kennesaw Modern Dentistry)
• Kennesaw Mountain Medical Group
• Kennesaw Pediatric Dentistry
• Kennesaw Pediatrics
• Kennesaw RX LLC (Kennesaw Pharmacy)
• Kennesaw State University

• General Practice Dentistry in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2017; 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.