DMD Anesthesia LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

50891 Issued in GA

Legal business name

DMD ANESTHESIA LLC

Practice address

1436 Chattanooga Ave
Dalton, GA 30720-2637

Phone

(706) 537-1131

NPI assigned

Mar 14, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Dawn D Idom, MDNPI 1225067135

Title

Owner

Phone

(706) 537-1131

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dawn D. Idom, MD

  • Anesthesiology Physician
  • Dalton, GA
  • NPI 1225067135
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1346781085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 RYMAN RIDGE RD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203891",
            "telephone_number": "706-537-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 CHATTANOOGA AVE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202637",
            "telephone_number": "706-537-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMD ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "IDOM",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-537-1131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "50891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Chloe Dickson, PTA
• Sharon W Dickson, LPC
• Timothy Carl Dindoffer, M.D.
• David L Dinges, M.D.
• Discount Drugs of Elijay,Inc. (Valurite-Discount Pharmacy)
• Marnie Dodd, LCSW
• Nedra R Dodds, MD
• Erick Dominguez, FNP
• Omar Fernando Dominguez, M.D.
• Angela Darlene Renee Donehoo, CNM APN

• Anesthesiology Physician in Dalton, GA
• Providers in Dalton, GA by specialty
• Anesthesiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.