Organization Active NPI

Parnes Family Dentistry LLC

  • Dental Clinic/Center
  • Austell, GA
National Provider Identifier
1336310192
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100362MedicaidGA
107477MedicaidGA
9179575MedicaidGA
165930MedicaidGA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.