Active NPI
Kragor Orthodontics LLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Woodstock, GA
National Provider Identifier
1306203427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN014935
- Legal business name
- KRAGOR ORTHODONTICS LLC
- Practice address
- 1816 Eagle Dr
Suite 100-B
Woodstock, GA 30189-8272 - Phone
- (206) 854-8585
- NPI assigned
- Jan 20, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ambre Ann Kragor, DDS, MS
- Title
- Orthodontist
- Phone
- (206) 854-8585
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN014935 | GA | Primary |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN014936 | GA |
Addresses
Primary practice location
1816 Eagle Dr
Suite 100-B
Woodstock, GA 30189-8272
Mailing address
1816 Eagle Dr
Suite 100-B
Woodstock, GA 30189-8272
Phone (206) 854-8585
National Provider Directory
National Provider DirectoryLocations
1816 Eagle Dr
Ste 100-B
Woodstock, GA 30189
Phone (206) 854-8585
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Woodstock, GA
- NPI 1184988578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453248000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453248000000",
"number": "1306203427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1816 EAGLE DR",
"address_2": "SUITE 100-B",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301898272",
"telephone_number": "206-854-8585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1816 EAGLE DR",
"address_2": "SUITE 100-B",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301898272",
"telephone_number": "206-854-8585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRAGOR ORTHODONTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-20",
"last_updated": "2016-01-20",
"status": "A",
"authorized_official_last_name": "KRAGOR",
"authorized_official_first_name": "AMBRE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "ORTHODONTIST",
"authorized_official_telephone_number": "206-854-8585",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS, MS"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "GA",
"license": "DN014935",
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "GA",
"license": "DN014936",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.