Philip K. Talley, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11970 Issued in GA

Practice address

2055 Beaver Ruin Rd
Suite E
Norcross, GA 30071-3607

Phone

(770) 242-0021

Fax

(770) 242-6016

NPI assigned

Mar 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lee Zhao DMD PC

  • Dentist
  • Norcross, GA
  • NPI 1689951865
  NPD (past)

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1427018878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 BEAVER RUIN RD",
            "address_2": "SUITE E",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300713607",
            "telephone_number": "770-242-0021",
            "fax_number": "770-242-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 BEAVER RUIN RD",
            "address_2": "SUITE E",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300713607",
            "telephone_number": "770-242-0021",
            "fax_number": "770-242-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLEY",
        "first_name": "PHILIP",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "11970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00934601A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tama Lynn Syrop, M.D.
• Carolina Tabares, BCBA
• Nana Yaa Tackie, MD
• Alaysha Talango
• Talk-a-Boo Pediatric Therapeutic Services LLC (Talk-A-Boo Pediatric Therapy)
• Oriana Tamura, NP-C
• Rebekah Tarbutton, PT, DPT
• Joseph L Tate, MD
• Michelar Natoya Taylor Jackson, NP
• Angelicque Taylor

• General Practice Dentistry in Norcross, GA
• Providers in Norcross, 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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.