Organization Active NPI

Bush & Freedman Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Gainesville, GA
National Provider Identifier
1386075638
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN011309 Issued in GA
Legal business name
BUSH & FREEDMAN ORTHODONTICS LLC
Practice address
3630 Thompson Bridge Rd
Ste. 18B
Gainesville, GA 30506-1519
Phone
(678) 769-4909
NPI assigned
Dec 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Authorized official

Name
Dr. Hector Bush, DMD
Title
Partner
Phone
(678) 769-4909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DN011309 GA Primary

Addresses

Primary practice location

3630 Thompson Bridge Rd
Ste. 18B
Gainesville, GA 30506-1519

Mailing address

1740 Hudson Bridge Rd
PMB 1182
Stockbridge, GA 30281-6331

Other names 1

  • Orthodontic Care of Georgia Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1386075638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 HUDSON BRIDGE RD",
            "address_2": "PMB 1182",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 THOMPSON BRIDGE RD",
            "address_2": "STE. 18B",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305061519",
            "telephone_number": "678-769-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUSH & FREEDMAN ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-11",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "678-769-4909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "DN011309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthodontic Care of Georgia",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.

Verify at the official NPI Registry.