NPIMap

Organization Active NPI

RSS Gary Nelson LLC

  • General Practice Dentistry
  • Alpharetta, GA
National Provider Identifier
1306358668
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RSS GARY NELSON LLC
Practice address
11912 Jones Bridge Rd Ste B
Alpharetta, GA 30005-4613
Phone
(844) 859-2525
NPI assigned
Oct 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2017

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

Authorized official

Name
Sara Brown
Title
Director
Phone
(817) 440-6060

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X

Addresses

Primary practice location

11912 Jones Bridge Rd Ste B
Alpharetta, GA 30005-4613

Mailing address

1050 Texan TRL Ste 300
Grapevine, TX 76051-3759
Phone (817) 440-6060

National Provider Directory

National Provider Directory

Locations

11912 Jones Bridge Rd
Ste B
Johns Creek, GA 30005
Phone (844) 855-2525

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508976000000",
    "number": "1306358668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 TEXAN TRL STE 300",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513759",
            "telephone_number": "817-440-6060",
            "fax_number": "469-533-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11912 JONES BRIDGE RD STE B",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054613",
            "telephone_number": "844-859-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSS GARY NELSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2017-10-26",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-440-6060"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.