Organization Active NPI

Crbapple Oral Surgery LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Dawsonville, GA
National Provider Identifier
1376844852
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
CRBAPPLE ORAL SURGERY LLC
Practice address
100 Dawson Commons Cir
Dawsonville, GA 30534-6264
Phone
(678) 710-6000
Fax
(678) 710-6001
NPI assigned
Nov 15, 2010
Last updated
Nov 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Authorized official

Name
Jbartch Bartch
Title
Manager
Phone
(678) 710-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

100 Dawson Commons Cir
Dawsonville, GA 30534-6264

Mailing address

PO Box 195
Woodstock, GA 30188-0195
Phone (678) 710-6000

National Provider Directory

National Provider Directory
Tax ID family
Crbappl Oral Surgery LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

100 Dawson Commons Cir
Dawsonville, GA 30534
Phone (678) 445-9191

NPI Registry JSON

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1376844852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 195",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301880195",
            "telephone_number": "678-710-6000",
            "fax_number": "678-710-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DAWSON COMMONS CIR",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346264",
            "telephone_number": "678-710-6000",
            "fax_number": "678-710-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRBAPPLE ORAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-15",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "BARTCH",
        "authorized_official_first_name": "JBARTCH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "678-710-6000"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dawsonville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.