NPIMap

Organization Active NPI

Choate Dental Assoc PC

  • Dentist
  • Cartersville, GA
National Provider Identifier
1396850939
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6946 Issued in GA
Legal business name
CHOATE DENTAL ASSOC PC
Practice address
211 E Main St
Cartersville, GA 30120
Phone
(770) 382-0921
Fax
(770) 607-1821
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Zim Jackson Choate, DDS
Title
Pres Choate Dental Assoc PC
Phone
(770) 382-0921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 6946 GA Primary

Addresses

Primary practice location

211 E Main St
Cartersville, GA 30120

Mailing address

PO Box 400
211 E Main St
Cartersville, GA 30120
Phone (770) 382-0921

National Provider Directory

National Provider Directory
Tax ID family
Choate Dental Assoc PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

211 E Main St
Cartersville, GA 30120
Phone (770) 382-0921

Practitioners & affiliated clinicians

Practitioners 3

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": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396850939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "address_2": "211 E MAIN ST",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "30120",
            "telephone_number": "770-382-0921",
            "fax_number": "770-607-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E MAIN ST",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "30120",
            "telephone_number": "770-382-0921",
            "fax_number": "770-607-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOATE DENTAL ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHOATE",
        "authorized_official_first_name": "ZIM",
        "authorized_official_middle_name": "JACKSON",
        "authorized_official_title_or_position": "PRES CHOATE DENTAL ASSOC PC",
        "authorized_official_telephone_number": "770-382-0921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "6946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.