Organization Active NPI

Crabapple Family Dentistry, LLC

  • Dental Clinic/Center
  • Alpharetta, GA
National Provider Identifier
1245671353
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN013090 Issued in GA
Legal business name
CRABAPPLE FAMILY DENTISTRY, LLC
Practice address
12685 Crabapple Rd
Alpharetta, GA 30004-6339
Phone
(770) 475-3700
Fax
(770) 664-2284
NPI assigned
Jul 17, 2013
Last updated
Jul 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Authorized official

Name
Loreal C Bingham Clay
Title
Office Coordinator
Phone
(770) 475-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN013090 GA Primary

Addresses

Primary practice location

12685 Crabapple Rd
Alpharetta, GA 30004-6339

Mailing address

12685 Crabapple Rd
Alpharetta, GA 30004-6339
Phone (770) 475-3700

National Provider Directory

National Provider Directory

Locations

12685 Crabapple Rd
Alpharetta, GA 30004
Phone (770) 475-3700

Practitioners & affiliated clinicians

Practitioners 2

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": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1245671353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12685 CRABAPPLE RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300046339",
            "telephone_number": "770-475-3700",
            "fax_number": "770-664-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12685 CRABAPPLE RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300046339",
            "telephone_number": "770-475-3700",
            "fax_number": "770-664-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRABAPPLE FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "BINGHAM CLAY",
        "authorized_official_first_name": "LOREAL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "770-475-3700"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "DN013090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.