NPIMap

Organization Active NPI

Brittingham Dentistry, LLC

  • General Practice Dentistry
  • Augusta, GA
National Provider Identifier
1225586498
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN014829 Issued in GA
Legal business name
BRITTINGHAM DENTISTRY, LLC
Practice address
3742 Walton Way Ext
Augusta, GA 30907-2417
Phone
(706) 860-4190
Fax
(706) 650-8855
NPI assigned
Sep 16, 2016
Last updated
Sep 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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

Authorized official

Name
Dr. Michael Andrew Brittingham, D.M.D.NPI 1528476447
Title
VP/Dentist
Phone
(706) 860-4190

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
General Practice Dentistry 1223G0001X 9859 GA
General Practice Dentistry 1223G0001X DN014829 GA Primary

Addresses

Primary practice location

3742 Walton Way Ext
Augusta, GA 30907-2417

Mailing address

3742 Walton Way Ext
Augusta, GA 30907-2417
Phone (706) 860-4190

National Provider Directory

National Provider Directory

Locations

3742 Walton Way Ext
Augusta, GA 30907
Phone (706) 860-4190

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": "1473984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473984000000",
    "number": "1225586498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3742 WALTON WAY EXT",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309072417",
            "telephone_number": "706-860-4190",
            "fax_number": "706-650-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3742 WALTON WAY EXT",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309072417",
            "telephone_number": "706-860-4190",
            "fax_number": "706-650-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRITTINGHAM DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-16",
        "last_updated": "2016-09-16",
        "status": "A",
        "authorized_official_last_name": "BRITTINGHAM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "VP/DENTIST",
        "authorized_official_telephone_number": "706-860-4190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "9859",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.