NPIMap

Organization Active NPI

Christopher M Anderson DMD LLC

  • General Practice Dentistry
  • Marietta, GA
National Provider Identifier
1407867328
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN012001 Issued in GA
Legal business name
CHRISTOPHER M ANDERSON DMD LLC
Practice address
1225 Johnson Ferry Rd
Suite #660
Marietta, GA 30068-2727
Phone
(770) 973-6494
Fax
(770) 973-6544
NPI assigned
Aug 10, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. Christopher Michael Anderson, DMDNPI 1265452569
Title
Owner
Phone
(770) 973-6494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN012001 GA Primary

Addresses

Primary practice location

1225 Johnson Ferry Rd
Suite #660
Marietta, GA 30068-2727

Mailing address

1225 Johnson Ferry Rd
Suite #660
Marietta, GA 30068-2727
Phone (770) 973-6494

National Provider Directory

National Provider Directory

Locations

1225 Johnson Ferry Rd
Ste 660
Marietta, GA 30068
Phone (770) 973-6494

Practitioners & affiliated clinicians

Practitioners 2

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": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407867328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 JOHNSON FERRY RD",
            "address_2": "SUITE #660",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682727",
            "telephone_number": "770-973-6494",
            "fax_number": "770-973-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 JOHNSON FERRY RD",
            "address_2": "SUITE #660",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682727",
            "telephone_number": "770-973-6494",
            "fax_number": "770-973-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER M ANDERSON DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-973-6494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, 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.