NPIMap

Organization Active NPI

King, McCune, and Moore Orthodontics, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Atlanta, GA
National Provider Identifier
1346907938
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
KING, MCCUNE, AND MOORE ORTHODONTICS, LLC
Practice address
3401 Northside Pkwy NW
Atlanta, GA 30327-2323
Phone
(404) 233-1972
NPI assigned
Nov 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Authorized official

Name
Stephanie Moore, DMDNPI 1275789448
Title
Organizer
Phone
(678) 464-9773

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

3401 Northside Pkwy NW
Atlanta, GA 30327-2323

Mailing address

5575 Aven Rd
Marietta, GA 30068-4502
Phone (678) 464-9773

National Provider Directory

National Provider Directory

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": "1637193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1346907938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 AVEN RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684502",
            "telephone_number": "678-464-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 NORTHSIDE PKWY NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272323",
            "telephone_number": "404-233-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING, MCCUNE, AND MOORE ORTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "678-464-9773",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.