Individual provider Active NPI

Ronald Scott Cavola, D.D.S.

  • General Practice Dentistry
  • Conyers, GA
National Provider Identifier
1235137654
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10477 Issued in GA
Practice address
2005 Honey Creek Pkwy SE
Conyers, GA 30013-2975
Phone
(770) 929-8555
Fax
(770) 929-8582
NPI assigned
Jul 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10477 GA Primary

Addresses

Primary practice location

2005 Honey Creek Pkwy SE
Conyers, GA 30013-2975

Mailing address

2005 Honey Creek Pkwy SE
Conyers, GA 30013-2975
Phone (770) 929-8555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150623001272 GA Order and Referring Only - Other (Non-Physician) 1052622685

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nguyen Family Dental & Associates LLC General Practice PastSince Jan 28, 2024 Accepting new patients
Ronald S. Cavola, DDS, PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235137654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 HONEY CREEK PKWY SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132975",
            "telephone_number": "770-929-8555",
            "fax_number": "770-929-8582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 HONEY CREEK PKWY SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132975",
            "telephone_number": "770-929-8555",
            "fax_number": "770-929-8582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVOLA",
        "first_name": "RONALD",
        "middle_name": "SCOTT",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "10477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.