Active NPI
Complete Dental of Suwanee
- General Practice Dentistry
- Suwanee, GA
National Provider Identifier
1376910372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DNO13800
- Legal business name
- COMPLETE DENTAL OF SUWANEE
- Practice address
- 2133 Lawrenceville Suwanee Rd
Suite 13
Suwanee, GA 30024-2648 - Phone
- (678) 377-6453
- NPI assigned
- Aug 25, 2015
- Last updated
- Aug 25, 2015
- 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
- Dr. Neelima Chiru, D.M.D.
- Title
- Owner/ General Dentist
- Phone
- (312) 399-1496
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DNO13800 | GA | Primary |
Addresses
Primary practice location
2133 Lawrenceville Suwanee Rd
Suite 13
Suwanee, GA 30024-2648
Mailing address
2133 Lawrenceville Suwanee Rd
Suite 13
Suwanee, GA 30024-2648
Phone (678) 377-6453
National Provider Directory
National Provider DirectoryLocations
2133 Lawrenceville Suwanee Rd
Ste 13
Suwanee, GA 30024
Phone (678) 377-6453
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Stockton, CA
- NPI 1427534445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440460800000",
"number": "1376910372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2133 LAWRENCEVILLE SUWANEE RD",
"address_2": "SUITE 13",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300242648",
"telephone_number": "678-377-6453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2133 LAWRENCEVILLE SUWANEE RD",
"address_2": "SUITE 13",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300242648",
"telephone_number": "678-377-6453"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLETE DENTAL OF SUWANEE",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-25",
"last_updated": "2015-08-25",
"status": "A",
"authorized_official_last_name": "CHIRU",
"authorized_official_first_name": "NEELIMA",
"authorized_official_title_or_position": "OWNER/ GENERAL DENTIST",
"authorized_official_telephone_number": "312-399-1496",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DNO13800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suwanee, GA
- Rachel Nalini Cole
- Wendell W. Cole III, MD
- Janice M Collins
- Paris Collins, MD
- Colon and Rectal Clinic, LLC
- Comprehensive Care Associates, LLC
- Comprehensive Care of Georgia, Inc.
- Comprehensive Internal Medicine
- Comprehensive Neurology Specialist (Mark I Harris MD)
- Comprehensive Wellness Center of Gwinnett, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.