Organization Active NPI

Claudia E. Tomaselli, D.M.D., P.C.

  • Pediatric Dentistry
  • Woodstock, GA
National Provider Identifier
1194746610
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
11182 Issued in GA
Legal business name
CLAUDIA E. TOMASELLI, D.M.D., P.C.
Practice address
375 Parkway 575
Suite 100
Woodstock, GA 30188-6439
Phone
(770) 924-0424
Fax
(770) 592-0636
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Claudia Tomaselli, D.M.D.NPI 1780606699
Title
Owner
Phone
(770) 924-0424

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 11182 GA Primary

Addresses

Primary practice location

375 Parkway 575
Suite 100
Woodstock, GA 30188-6439

Mailing address

375 Parkway 575
Suite 100
Woodstock, GA 30188-6439
Phone (770) 924-0424

National Provider Directory

National Provider Directory

Locations

375 Parkway 575
Ste 100
Woodstock, GA 30188
Phone (770) 924-0424

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": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194746610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 PARKWAY 575",
            "address_2": "SUITE 100",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301886439",
            "telephone_number": "770-924-0424",
            "fax_number": "770-592-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 PARKWAY 575",
            "address_2": "SUITE 100",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301886439",
            "telephone_number": "770-924-0424",
            "fax_number": "770-592-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAUDIA E. TOMASELLI, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOMASELLI",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-924-0424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "11182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.