NPIMap

Organization Active NPI

Brian a Bain DDS II PC

  • General Practice Dentistry
  • Carrollton, GA
National Provider Identifier
1235593385
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN014278 Issued in GA
Legal business name
BRIAN A BAIN DDS II PC
Practice address
831 Dixie St
Carrollton, GA 30117-4415
Phone
(770) 832-9668
Fax
(678) 601-1536
NPI assigned
Apr 5, 2016
Last updated
Apr 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Authorized official

Name
Brian Alexander Bain, DDSNPI 1821316092
Title
Owner
Phone
(770) 258-5516

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN014278 GA Primary

Addresses

Primary practice location

831 Dixie St
Carrollton, GA 30117-4415

Mailing address

429 Mitchell Ave
Bowdon, GA 30108-1405
Phone (770) 258-5516

National Provider Directory

National Provider Directory

Locations

429 Mitchell Ave
Bowdon, GA 30108
Phone (770) 258-5516

831 Dixie St
Carrollton, GA 30117
Phone (770) 832-9668

Practitioners & affiliated clinicians

Practitioners 4

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": "1459814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1235593385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 MITCHELL AVE",
            "city": "BOWDON",
            "state": "GA",
            "postal_code": "301081405",
            "telephone_number": "770-258-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 DIXIE ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174415",
            "telephone_number": "770-832-9668",
            "fax_number": "678-601-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN A BAIN DDS II PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "BAIN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-258-5516",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.