Organization Active NPI

McDonough Center for Family Dentistry, LLC

  • General Practice Dentistry
  • McDonough, GA
National Provider Identifier
1215160684
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MCDONOUGH CENTER FOR FAMILY DENTISTRY, LLC
Practice address
1867 Jonesboro Rd
Suite 6
McDonough, GA 30253-6099
Phone
(678) 432-0209
NPI assigned
Sep 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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

Authorized official

Name
Dr. Farhad Farahaninia, D.M.D.
Title
Owner
Phone
(678) 432-0209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1867 Jonesboro Rd
Suite 6
McDonough, GA 30253-6099

Mailing address

1867 Jonesboro Rd
Suite 6
McDonough, GA 30253-6099
Phone (678) 432-0209

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1215160684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 JONESBORO RD",
            "address_2": "SUITE 6",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536099",
            "telephone_number": "678-432-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 JONESBORO RD",
            "address_2": "SUITE 6",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536099",
            "telephone_number": "678-432-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDONOUGH CENTER FOR FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "FARAHANINIA",
        "authorized_official_first_name": "FARHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-432-0209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.