Active NPI
Orthopedic Cortisone Injection Center
- Sports Medicine (Orthopaedic Surgery) Physician
- Dunwoody, GA
National Provider Identifier
1376147983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Orthopaedic Surgery Physician
- Decatur, GA
- NPI 1982691978
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.