Organization Active NPI

Arch 2 Arch LLC

  • Dental Clinic/Center
  • Commerce, GA
National Provider Identifier
1396427464
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ARCH 2 ARCH LLC
Practice address
2035 Homer Rd
Commerce, GA 30529-1255
Phone
(706) 335-4222
NPI assigned
Aug 7, 2023
Last updated
Aug 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Authorized official

Name
Terry Ennis
Title
Owner
Phone
(706) 593-9678

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

2035 Homer Rd
Commerce, GA 30529-1255

Mailing address

2035 Homer Rd
Commerce, GA 30529-1255
Phone (706) 593-9678

National Provider Directory

National Provider Directory

Locations

2035 Homer Rd
Commerce, GA 30529
Phone (706) 335-4222

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.

NPI Registry JSON

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1396427464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 HOMER RD",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305291255",
            "telephone_number": "706-593-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 HOMER RD",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305291255",
            "telephone_number": "706-335-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCH 2 ARCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "ENNIS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-593-9678"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.