Krishiva Smiles, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013579 Issued in GA

Legal business name

KRISHIVA SMILES, LLC

Practice address

331 Arcado Rd NW
Suite D
Lilburn, GA 30047-3077

Phone

(770) 557-0788

Fax

(404) 393-7893

NPI assigned

Mar 6, 2017

Organization subpart

No

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

Authorized official

Name

Jalpa Dave, DMD

Title

Owner

Phone

(770) 557-0788

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1417497678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 ARCADO RD NW",
            "address_2": "SUITE D",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473077",
            "telephone_number": "770-557-0788",
            "fax_number": "404-393-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 ARCADO RD NW",
            "address_2": "SUITE D",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473077",
            "telephone_number": "770-557-0788",
            "fax_number": "404-393-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISHIVA SMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "DAVE",
        "authorized_official_first_name": "JALPA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-557-0788",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Lilburn, GA
• Providers in Lilburn, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.