Organization Active NPI

Orthopedic Cortisone Injection Center

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Dunwoody, GA
National Provider Identifier
1376147983
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
ORTHOPEDIC CORTISONE INJECTION CENTER
Practice address
1705 Mount Vernon Rd Ste B
Dunwoody, GA 30338-4257
Phone
(404) 292-3538
Fax
(404) 296-0663
NPI assigned
Nov 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Authorized official

Name
Mr. Daniel Paul Richin
Title
Owner
Phone
(404) 292-3538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X Primary

Addresses

Primary practice location

1705 Mount Vernon Rd Ste B
Dunwoody, GA 30338-4257

Mailing address

1705 Mount Vernon Rd Ste B
Dunwoody, GA 30338-4257
Phone (404) 292-3538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210304000295 GA Part B Supplier - Clinic/Group Practice 1951717669 Receives reassigned benefits from 1 practitioner
Practice locations: Dunwoody, GA

National Provider Directory

National Provider Directory

Locations

1705 Mount Vernon Rd
Ste B
Dunwoody, GA 30338
Phone (404) 445-7942

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": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1376147983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 MOUNT VERNON RD STE B",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384257",
            "telephone_number": "404-292-3538",
            "fax_number": "404-296-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 MOUNT VERNON RD STE B",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384257",
            "telephone_number": "404-292-3538",
            "fax_number": "404-296-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC CORTISONE INJECTION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "RICHIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-292-3538",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunwoody, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.