Organization Active NPI

Smiles-R-US of Carrollton

  • General Practice Dentistry
  • Carrollton, GA
National Provider Identifier
1306139142
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN012559 Issued in GA
Legal business name
SMILES-R-US OF CARROLLTON
Practice address
1111 Bankhead Hwy
Carrollton, GA 30117-1821
Phone
(770) 459-4131
NPI assigned
May 26, 2011
Last updated
May 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Authorized official

Name
Dr. Jamey S Chang, DMDNPI 1902944812
Title
Dr
Phone
(770) 459-4131

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DN012559 GA Primary

Addresses

Primary practice location

1111 Bankhead Hwy
Carrollton, GA 30117-1821

Mailing address

1111 Bankhead Hwy
Carrollton, GA 30117-1821
Phone (770) 459-4131

National Provider Directory

National Provider Directory

Locations

1111 Bankhead Hwy
Carrollton, GA 30117
Phone (770) 459-4131

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": "1306368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1306139142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 BANKHEAD HWY",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301171821",
            "telephone_number": "770-459-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 BANKHEAD HWY",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301171821",
            "telephone_number": "770-459-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES-R-US OF CARROLLTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "JAMEY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "770-459-4131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.