NPIMap

Organization Active NPI

Windy Hill Dentistry, LLC

  • Dentist
  • Smyrna, GA
National Provider Identifier
1316324932
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN008043 Issued in GA
Legal business name
WINDY HILL DENTISTRY, LLC
Practice address
997 Windy Hill Rd SE
Suite C
Smyrna, GA 30080-2045
Phone
(770) 405-8707
NPI assigned
May 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Authorized official

Name
Dr. Roy JohnsonNPI 1043420797
Title
DDS
Phone
(770) 405-8707

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN008043 GA Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

997 Windy Hill Rd SE
Suite C
Smyrna, GA 30080-2045

Mailing address

997 Windy Hill Rd SE
Suite C
Smyrna, GA 30080-2045
Phone (770) 405-8707

National Provider Directory

National Provider Directory
Tax ID family
Windy Hill Dentistry LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

997 Windy Hill Rd SE
Ste C
Smyrna, GA 30080
Phone (770) 405-8707

Practitioners & affiliated clinicians

Practitioners 1

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": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1316324932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 WINDY HILL RD SE",
            "address_2": "SUITE C",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300802045",
            "telephone_number": "770-405-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 WINDY HILL RD SE",
            "address_2": "SUITE C",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300802045",
            "telephone_number": "770-405-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDY HILL DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "770-405-8707",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN008043",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.