NPIMap

Organization Active NPI

Central Georgia Periodontics & Dental Implants LLC

  • Periodontics
  • Warner Robins, GA
National Provider Identifier
1184991887
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
7417 Issued in GA
Legal business name
CENTRAL GEORGIA PERIODONTICS & DENTAL IMPLANTS LLC
Practice address
225 Carl Vinson Pkwy
Warner Robins, GA 31088-5831
Phone
(478) 923-0232
Fax
(478) 929-3382
NPI assigned
Nov 23, 2011
Last updated
Nov 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Authorized official

Name
Dr. Vinamra Bhasin, D.M.D.NPI 1396868584
Title
Member
Phone
(478) 923-0232

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DN 013545 GA
Periodontics 1223P0300X 7417 GA Primary

Addresses

Primary practice location

225 Carl Vinson Pkwy
Warner Robins, GA 31088-5831

Mailing address

225 Carl Vinson Pkwy
Warner Robins, GA 31088-5831
Phone (478) 923-0232

National Provider Directory

National Provider Directory
Tax ID family
Central Georgia Periodontics and Dental Implants2 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

225 Carl Vinson Pkwy
Warner Robins, GA 31088
Phone (478) 923-0232

Practitioners & affiliated clinicians

Practitioners 2

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": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1184991887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CARL VINSON PKWY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885831",
            "telephone_number": "478-923-0232",
            "fax_number": "478-929-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CARL VINSON PKWY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885831",
            "telephone_number": "478-923-0232",
            "fax_number": "478-929-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL GEORGIA PERIODONTICS & DENTAL IMPLANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "BHASIN",
        "authorized_official_first_name": "VINAMRA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "478-923-0232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "DN 013545",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "7417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

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