Nirali Procter, DMD, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN012374 Issued in GA

Legal business name

NIRALI PROCTER, DMD, LLC

Practice address

205 Waleska Rd
Canton, GA 30114-2493

Phone

(770) 479-1717

NPI assigned

Dec 31, 2013

Last updated

Dec 31, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nirali Procter, DMDNPI 1669450649

Title

Owner

Phone

(404) 949-9816

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Nirali Patel Procter, DMD

  • General Practice Dentistry
  • Canton, GA
  • NPI 1669450649
  Authorized official Same address or phone

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

{
    "created_epoch": "1388448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388448000000",
    "number": "1245651769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WALESKA RD",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142493",
            "telephone_number": "770-479-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WALESKA RD",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142493",
            "telephone_number": "770-479-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIRALI PROCTER, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-31",
        "last_updated": "2013-12-31",
        "status": "A",
        "authorized_official_last_name": "PROCTER",
        "authorized_official_first_name": "NIRALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-949-9816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nia Dentistry LLC (Nia Pediatric Dentistry and Family Orthopedics)
• Azi Soltani Nia
• Farshid Hamidi Nia, DMD, MSD
• Jeremiah Tate Nichols, PTA, LAT, ATC
• Nimble Kids LLC (Comprehensive Therapy Children's Center)
• Angela Nicole Nix, PT
• Noble Care Partners LLC
• Ervin William Nolasco, APC
• Amy Christine Norgaard, PA-C
• Richard Paul Norris-Rocaberte

• General Practice Dentistry in Canton, GA
• Providers in Canton, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; 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.