Active NPI
Timothy J O'Shea DDS PA
- Dentist
- Decatur, GA
National Provider Identifier
1376974816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- TIMOTHY J O'SHEA DDS PA
- Practice address
- 755 Commerce Dr
520
Decatur, GA 30030-2627 - Phone
- (404) 373-7818
- Fax
- (404) 638-5115
- NPI assigned
- Dec 10, 2013
- 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. Matthew T. O'Shea
- Title
- President
- Phone
- (404) 373-7818
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
755 Commerce Dr
520
Decatur, GA 30030-2627
Mailing address
755 Commerce Dr
Suite 520
Decatur, GA 30030-2627
Phone (404) 373-7818
Other names 1
- O'Shea & O'Shea Family Dentistry
National Provider Directory
National Provider DirectoryLocations
755 Commerce Dr
Ste 520
Decatur, GA 30030
Phone (404) 373-7818
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Decatur, GA
- NPI 1316974223
-
- General Practice Dentistry
- Decatur, GA
- NPI 1942236526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386633600000",
"number": "1376974816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 COMMERCE DR",
"address_2": "SUITE 520",
"city": "DECATUR",
"state": "GA",
"postal_code": "300302627",
"telephone_number": "404-373-7818",
"fax_number": "404-638-5115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 COMMERCE DR",
"address_2": "520",
"city": "DECATUR",
"state": "GA",
"postal_code": "300302627",
"telephone_number": "404-373-7818",
"fax_number": "404-638-5115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIMOTHY J O'SHEA DDS PA",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-10",
"last_updated": "2013-12-10",
"status": "A",
"authorized_official_last_name": "O'SHEA",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "404-373-7818",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "O'Shea & O'Shea Family Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.