Organization Active NPI

Smile Today PC

  • Dentist
  • Chamblee, GA
National Provider Identifier
1255751897
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN013199 Issued in GA
Legal business name
SMILE TODAY PC
Practice address
4897 Buford Hwy Ste 122
Chamblee, GA 30341-3670
Phone
(678) 697-4656
Fax
(770) 452-5002
NPI assigned
Apr 22, 2014
Last updated
Apr 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

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

Authorized official

Name
Cheng GaoNPI 1548383839
Title
Owner
Phone
(404) 429-8690

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN013199 GA Primary

Addresses

Primary practice location

4897 Buford Hwy Ste 122
Chamblee, GA 30341-3670

Mailing address

11055 Bolster CT
Suwanee, GA 30024-1576
Phone (678) 697-4656

Other identifiers 1

IdentifierTypeStateIssuer
527692709AOtherGAMEDICARE FOR GEORGIA DEPARTMENT OF COMMUNITY HEALTH

National Provider Directory

National Provider Directory

Locations

4897 Buford Hwy
Ste 122
Chamblee, GA 30341
Phone (678) 697-4656

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1255751897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11055 BOLSTER CT",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241576",
            "telephone_number": "678-697-4656",
            "fax_number": "770-452-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4897 BUFORD HWY STE 122",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303413670",
            "telephone_number": "678-697-4656",
            "fax_number": "770-452-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE TODAY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "GAO",
        "authorized_official_first_name": "CHENG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-429-8690"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FOR GEORGIA DEPARTMENT OF COMMUNITY HEALTH",
            "identifier": "527692709A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chamblee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.