Individual provider Active NPI

Karunesh Chakote

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Newnan, GA
National Provider Identifier
1396230884
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN122298 Issued in GA
Practice address
201 Newnan Crossing Byp
Newnan, GA 30265-1063
Phone
(678) 621-6410
NPI assigned
Jun 27, 2018
Last updated
May 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN122298 GA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 30025509 OH
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN122298 GA Primary

Addresses

Primary practice location

201 Newnan Crossing Byp
Newnan, GA 30265-1063

Mailing address

711 Cosmopolitan Dr NE Unit 711
Atlanta, GA 30324-3626
Phone (516) 474-7958

Other practice location 1

305 W 12th Ave
Columbus, OH 43210-1267
Phone (614) 688-3763

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30025509OHMDOral and Maxillofacial Surgery (Dentist)
DN122298GAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Orthodontics, LLC Orthodontics and Dentofacial Orthopedics Current Accepting new patients
Gwinn Orthodontics, LLC Orthodontics and Dentofacial Orthopedics Current Accepting new patients
Elkdental LLC PastSince Jun 22, 2021 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1396230884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 COSMOPOLITAN DR NE UNIT 711",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243626",
            "telephone_number": "516-474-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NEWNAN CROSSING BYP",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302651063",
            "telephone_number": "678-621-6410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 W 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432101267",
            "country_code": "US",
            "telephone_number": "614-688-3763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAKOTE",
        "first_name": "KARUNESH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-27",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN122298",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30025509",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "DN122298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.