Organization Active NPI

Canton Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Canton, GA
National Provider Identifier
1306729793
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
CANTON ORTHODONTICS LLC
Practice address
150 Prominence Point Pkwy Ste 300
Canton, GA 30114-9111
Phone
(770) 800-8300
Fax
(770) 264-5792
NPI assigned
Jul 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Authorized official

Name
Farshid Nia, DMDNPI 1699973511
Title
Owner
Phone
(770) 800-8300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

150 Prominence Point Pkwy Ste 300
Canton, GA 30114-9111

Mailing address

150 Prominence Point Pkwy Ste 300
Canton, GA 30114-9111
Phone (770) 800-8300

National Provider Directory

National Provider Directory

Locations

150 Prominence Point Pkwy
Ste 300
Canton, GA 30114
Phone (770) 800-8300

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": "1753920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1306729793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PROMINENCE POINT PKWY STE 300",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301149111",
            "telephone_number": "770-800-8300",
            "fax_number": "770-264-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PROMINENCE POINT PKWY STE 300",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301149111",
            "telephone_number": "770-800-8300",
            "fax_number": "770-264-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "NIA",
        "authorized_official_first_name": "FARSHID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-800-8300",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.