Daniel Redie General Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DANIEL REDIE GENERAL DENTISTRY

Practice address

1849 Highway 138 SW
Riverdale, GA 30296-1812

Phone

(770) 996-5850

NPI assigned

Apr 7, 2008

Organization subpart

No

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

Authorized official

Name

Daniel RedieNPI 1467558650

Title

Dentist

Phone

(770) 996-5850

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Daniel Tesfa Redie, DDS

  • Dentist
  • Riverdale, GA
  • NPI 1467558650
  NPD (past) Authorized official

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1295908614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 HIGHWAY 138 SW",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302961812",
            "telephone_number": "770-996-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 HIGHWAY 138 SW",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302961812",
            "telephone_number": "770-996-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL REDIE GENERAL DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "REDIE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "770-996-5850"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "9180091",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "100997",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Daji
• Joleen Akorfa Dako, MD
• Kristol Daley, NCC, LPC
• Dalia Precious Memories LLC
• Beatrice Lynne Damali, DC
• Alicia Malinda Darby-Bishop
• Darin Kourajian DC PC
• Evan Davidson, DPT
• Jamil Eman Davis, PMHNP
• Kayla Davis

• General Practice Dentistry in Riverdale, GA
• Providers in Riverdale, 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 Apr 7, 2008; 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.