Organization Active NPI

Mjyj Inc

  • General Practice Dentistry
  • Newnan, GA
National Provider Identifier
1245006303
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MJYJ INC
Practice address
65 Oak Hill Blvd
Newnan, GA 30265-2312
Phone
(404) 518-9012
NPI assigned
Nov 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Authorized official

Name
Mike W Jin, DMDNPI 1801468665
Title
Dentist/Incorporator
Phone
(404) 518-9012

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 Primary

Addresses

Primary practice location

65 Oak Hill Blvd
Newnan, GA 30265-2312

Mailing address

65 Oak Hill Blvd
Newnan, GA 30265-2312
Phone (404) 518-9012

National Provider Directory

National Provider Directory

Locations

65 Oak Hill Blvd
Newnan, GA 30265
Phone (404) 518-9012

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1245006303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 OAK HILL BLVD",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652312",
            "telephone_number": "404-518-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 OAK HILL BLVD",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652312",
            "telephone_number": "404-518-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJYJ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-30",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "JIN",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DENTIST/INCORPORATOR",
        "authorized_official_telephone_number": "404-518-9012",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.