Organization Active NPI

Grayson Family Dental Care, LLC

  • Dentist
  • Lawrenceville, GA
National Provider Identifier
1366830762
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN013648 Issued in GA
Legal business name
GRAYSON FAMILY DENTAL CARE, LLC
Practice address
1365 Grayson Hwy Ste 106
Lawrenceville, GA 30045-6760
Phone
(404) 259-3232
NPI assigned
Jan 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Authorized official

Name
Dr. Chau Ngoc Hoang, DMD
Title
Dentist
Phone
(404) 259-3232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN013648 GA Primary

Addresses

Primary practice location

1365 Grayson Hwy Ste 106
Lawrenceville, GA 30045-6760

Mailing address

1365 Grayson Hwy Ste 106
Lawrenceville, GA 30045-6760
Phone (404) 259-3232

National Provider Directory

National Provider Directory

Locations

1365 Grayson Hwy
Ste 106
Lawrenceville, GA 30045
Phone (404) 259-3232

NPI Registry JSON

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1366830762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 GRAYSON HWY STE 106",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300456760",
            "telephone_number": "404-259-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 GRAYSON HWY STE 106",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300456760",
            "telephone_number": "404-259-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYSON FAMILY DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "CHAU",
        "authorized_official_middle_name": "NGOC",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "404-259-3232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.