Active NPI
Cherokee Family Dental, LLC
- General Practice Dentistry
- Canton, GA
National Provider Identifier
1194155986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN013366
- Legal business name
- CHEROKEE FAMILY DENTAL, LLC
- Practice address
- 2920 Marietta Hwy
Suite 146
Canton, GA 30114-8212 - Phone
- (770) 704-6987
- NPI assigned
- Nov 15, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nicholas Johnson, DMD
- Title
- Owner
- Phone
- (770) 704-6987
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DN014617 | GA | |
| General Practice Dentistry | 1223G0001X | DN013366 | GA | Primary |
| General Practice Dentistry | 1223G0001X | DN014219 | GA |
Addresses
Primary practice location
2920 Marietta Hwy
Suite 146
Canton, GA 30114-8212
Mailing address
2920 Marietta Highway
Suite 146
Canton, GA 30114
National Provider Directory
National Provider DirectoryLocations
2920 Marietta Hwy
Ste 146
Canton, GA 30114
Phone (470) 253-7252
Practitioners & affiliated clinicians
Practitioners 1
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": "1384473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1384473600000",
"number": "1194155986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 MARIETTA HIGHWAY",
"address_2": "SUITE 146",
"city": "CANTON",
"state": "GA",
"postal_code": "30114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2920 MARIETTA HWY",
"address_2": "SUITE 146",
"city": "CANTON",
"state": "GA",
"postal_code": "301148212",
"telephone_number": "770-704-6987"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHEROKEE FAMILY DENTAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-15",
"last_updated": "2013-11-15",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-704-6987",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": "GA",
"license": "DN014617",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN013366",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN014219",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, GA
- Cherokee County Health Department
- Cherokee County School Dirstrict
- Cherokee Day Training Center, Inc.
- Cherokee Eye Group, Inc.
- Cherokee Family Dental East Cherokee LLC
- Cherokee Lung & Sleep Specialists, P.C.
- Cherokee Radiation Oncology
- Cherokee Women'S Health Specialist, P.C.
- Alyssa Chester, M.S.
- Darrell Chester, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.