NPIMap

Organization Active NPI

Nia Dentistry LLC

Doing business as Nia Pediatric Dentistry and Family Orthopedics

  • Pediatric Dentistry
  • Canton, GA
National Provider Identifier
1336497403
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN013543 Issued in GA
Legal business name
NIA DENTISTRY LLC
Doing business as
Nia Pediatric Dentistry and Family Orthopedics
Practice address
150 Prominence Point Pkwy
Suite 500
Canton, GA 30114-9108
Phone
(770) 479-9999
Fax
(770) 479-9990
NPI assigned
Aug 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Authorized official

Name
Dr. Farshid Hamidi Nia, DMD, MSDNPI 1699973511
Title
Orthodontics/Owner
Phone
(770) 479-9999

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
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X DN013543 GA Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X DN013593 GA

Addresses

Primary practice location

150 Prominence Point Pkwy
Suite 500
Canton, GA 30114-9108

Mailing address

150 Prominence Point Pkwy
Suite 500
Canton, GA 30114-9108
Phone (770) 479-9999

Other names 1

  • Nia Pediatric Dentistry and Family Orthopedics Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1345507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376438400000",
    "number": "1336497403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PROMINENCE POINT PKWY",
            "address_2": "SUITE 500",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301149108",
            "telephone_number": "770-479-9999",
            "fax_number": "770-479-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PROMINENCE POINT PKWY",
            "address_2": "SUITE 500",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301149108",
            "telephone_number": "770-479-9999",
            "fax_number": "770-479-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIA DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-21",
        "last_updated": "2013-08-14",
        "status": "A",
        "authorized_official_last_name": "NIA",
        "authorized_official_first_name": "FARSHID",
        "authorized_official_middle_name": "HAMIDI",
        "authorized_official_title_or_position": "ORTHODONTICS/OWNER",
        "authorized_official_telephone_number": "770-479-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN013543",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "DN013593",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nia Pediatric Dentistry and Family Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 14, 2013; 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.