Organization Active NPI

Inman Park Dentistry

  • Dental Clinic/Center
  • Atlanta, GA
National Provider Identifier
1235627696
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
INMAN PARK DENTISTRY
Practice address
245 N Highland Ave NE Ste 260
Atlanta, GA 30307-1912
Phone
(404) 589-7799
Fax
(404) 214-9414
NPI assigned
May 1, 2018
Last updated
May 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Authorized official

Name
Dr. Alex J Rodriguez, DMDNPI 1811043193
Title
Dentist
Phone
(404) 589-7799

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
Dental Clinic/Center 261QD0000X GA Primary

Addresses

Primary practice location

245 N Highland Ave NE Ste 260
Atlanta, GA 30307-1912

Mailing address

245 N Highland Ave NE Ste 260
Atlanta, GA 30307-1912
Phone (404) 589-7799

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1525132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525132800000",
    "number": "1235627696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 N HIGHLAND AVE NE STE 260",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303071912",
            "telephone_number": "404-589-7799",
            "fax_number": "404-214-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N HIGHLAND AVE NE STE 260",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303071912",
            "telephone_number": "404-589-7799",
            "fax_number": "404-214-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INMAN PARK DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-05-01",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "404-589-7799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.