Active NPI
Parnes Family Dentistry LLC
- Dental Clinic/Center
- Austell, GA
National Provider Identifier
1336310192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- PARNES FAMILY DENTISTRY LLC
- Practice address
- 3999 Austell Rd
Suite 304
Austell, GA 30106-1100 - Phone
- (404) 213-9051
- Fax
- (678) 990-4072
- NPI assigned
- Mar 19, 2008
- Last updated
- Mar 19, 2008
- 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. Gary Wayne Parnes, DDS
- Title
- Owner
- Phone
- (404) 213-9051
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | GA | Primary |
Addresses
Primary practice location
3999 Austell Rd
Suite 304
Austell, GA 30106-1100
Mailing address
3999 Austell Rd
Suite 304
Austell, GA 30106-1100
Phone (404) 213-9051
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100362 | Medicaid | GA | |
| 107477 | Medicaid | GA | |
| 9179575 | Medicaid | GA | |
| 165930 | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
3999 Austell Rd
Ste 304
Austell, GA 30106
Phone (404) 213-9051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205884800000",
"number": "1336310192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3999 AUSTELL RD",
"address_2": "SUITE 304",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061100",
"telephone_number": "404-213-9051",
"fax_number": "678-990-4072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3999 AUSTELL RD",
"address_2": "SUITE 304",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061100",
"telephone_number": "404-213-9051",
"fax_number": "678-990-4072"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARNES FAMILY DENTISTRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-19",
"last_updated": "2008-03-19",
"status": "A",
"authorized_official_last_name": "PARNES",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-213-9051",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100362",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107477",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9179575",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "165930",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.