Active NPI
David M Vieth, DDS
- Dentist
- Atlanta, GA
National Provider Identifier
1316005804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 035093
- Practice address
- 210 Interstate North Pkwy SE Ste 300
Atlanta, GA 30339-2233 - Phone
- (678) 916-9000
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14151 | MD | |
| General Practice Dentistry | 1223G0001X | 10002 | CT | |
| General Practice Dentistry | 1223G0001X | 2901022850 | MI | |
| General Practice Dentistry | 1223G0001X | 6021 | LA | |
| General Practice Dentistry | 1223G0001X | 4288 | SC | |
| General Practice Dentistry | 1223G0001X | DN21794 | MA | |
| General Practice Dentistry | 1223G0001X | 12010958A | IN | |
| General Practice Dentistry | 1223G0001X | 8559 | KY | |
| Dentist | 122300000X | 035093 | NY | Primary |
Addresses
Primary practice location
210 Interstate North Pkwy SE Ste 300
Atlanta, GA 30339-2233
Mailing address
210 Interstate North Pkwy SE Ste 300
Atlanta, GA 30339-2233
Phone (678) 916-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4288 | SC | MD | Chiropractor |
| 035093 | NY | MD | Dentist |
| 12010958A | IN | MD | General Practice Dentistry |
| DN21794 | MA | MD | General Practice Dentistry |
| 14151 | MD | MD | General Practice Dentistry |
| 2901022850 | MI | MD | General Practice Dentistry |
| 8559 | KY | MD | Pharmacist |
| 6021 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637107200000",
"number": "1316005804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 INTERSTATE NORTH PKWY SE STE 300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303392233",
"telephone_number": "678-916-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 INTERSTATE NORTH PKWY SE STE 300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303392233",
"telephone_number": "678-916-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIETH",
"first_name": "DAVID",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2021-11-17",
"certification_date": "2021-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "14151",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "10002",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901022850",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "6021",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "4288",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "DN21794",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12010958A",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "8559",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "035093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.