Active NPI
Christian Silva Silveira, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Acworth, GA
National Provider Identifier
1407403652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN122234
- Practice address
- 3450 Cobb Pkwy NW Ste 160
Acworth, GA 30101-8379 - Phone
- (770) 222-2322
- NPI assigned
- Aug 22, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN122234 | GA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN122234 | GA | Primary |
Addresses
Primary practice location
3450 Cobb Pkwy NW Ste 160
Acworth, GA 30101-8379
Mailing address
422 Carl Ridge Dr NW
Kennesaw, GA 30152-5730
Phone (603) 820-6080
Other practice location 1
422 Carl Ridge Dr NW
Kennesaw, GA 30152-5730
Phone (603) 820-6080
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN122234 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pda Ortho Specialty of Georgia, LLC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
| Braces Braces LLC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Acworth, GA
- NPI 1487061214
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Acworth, GA
- NPI 1982169173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1407403652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "422 CARL RIDGE DR NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301525730",
"telephone_number": "603-820-6080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 COBB PKWY NW STE 160",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301018379",
"telephone_number": "770-222-2322"
}
],
"practiceLocations": [
{
"address_1": "422 Carl Ridge Dr NW",
"address_purpose": "LOCATION",
"city": "Kennesaw",
"state": "GA",
"postal_code": "301525730",
"country_code": "US",
"telephone_number": "603-820-6080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SILVA SILVEIRA",
"first_name": "CHRISTIAN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-22",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN122234",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "GA",
"license": "DN122234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Acworth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.