NPIMap

Organization Active NPI

Complete Dental of Suwanee

  • General Practice Dentistry
  • Suwanee, GA
National Provider Identifier
1376910372
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DNO13800 Issued in GA
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.