Individual provider Active NPI

Ronald M. Adams, D.M.D.

  • General Practice Dentistry
  • Warner Robins, GA
National Provider Identifier
1235209073
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0010078 Issued in GA
Practice address
708 Dunbar Rd
Warner Robins, GA 31093-1002
Phone
(478) 929-8622
Fax
(478) 918-0253
NPI assigned
Nov 9, 2006
Last updated
Feb 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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 0010078 GA Primary

Addresses

Primary practice location

708 Dunbar Rd
Warner Robins, GA 31093-1002

Mailing address

708 Dunbar Rd
Warner Robins, GA 31093-1002
Phone (478) 929-8622

Other identifiers 3

IdentifierTypeStateIssuer
9182340OtherGADORAL
000297921GMedicaidGA
100912OtherGAAVESIS

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: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160513001180 GA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6709175771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0010078GAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1235209073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 DUNBAR RD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310931002",
            "telephone_number": "478-929-8622",
            "fax_number": "478-918-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 DUNBAR RD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310931002",
            "telephone_number": "478-929-8622",
            "fax_number": "478-918-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "RONALD",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "0010078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "9182340",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000297921G",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "100912",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.