Individual provider Active NPI

Christian Silva Silveira, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Acworth, GA
National Provider Identifier
1407403652
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN122234 Issued in GA
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

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DN122234GAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Pda Ortho Specialty of Georgia, LLC Orthodontics and Dentofacial Orthopedics PastSince Jul 3, 2022 Accepting new patients
Braces Braces LLC Orthodontics and Dentofacial Orthopedics PastSince Jul 3, 2022 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.

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.

Verify at the official NPI Registry.