Organization Active NPI

Clinebell and Anderson Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Decatur, GA
National Provider Identifier
1275254435
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
CLINEBELL AND ANDERSON ORTHODONTICS
Practice address
3732 Lavista Rd
Decatur, GA 30033-1006
Phone
(404) 325-8116
Fax
(404) 325-0417
NPI assigned
Sep 7, 2022
Last updated
Sep 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Authorized official

Name
Lisa Brown
Title
Insurance Coordinator
Phone
(404) 325-8116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X Primary

Addresses

Primary practice location

3732 Lavista Rd
Decatur, GA 30033-1006

Mailing address

3732 Lavista Rd
Decatur, GA 30033-1006
Phone (404) 325-8116

National Provider Directory

National Provider Directory

Locations

3732 Lavista Rd
Decatur, GA 30033
Phone (404) 325-8116

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": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1275254435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3732 LAVISTA RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300331006",
            "telephone_number": "404-325-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3732 LAVISTA RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300331006",
            "telephone_number": "404-325-8116",
            "fax_number": "404-325-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINEBELL AND ANDERSON ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "404-325-8116"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.