NPIMap

Organization Active NPI

Hodges King & Reudel Huber DDS PA

  • Dentist
  • Atlanta, GA
National Provider Identifier
1427110402
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN006968 Issued in GA
Legal business name
HODGES KING & REUDEL HUBER DDS PA
Practice address
1000 Circle 75 Pkwy
Suite 20
Atlanta, GA 30339-6079
Phone
(770) 952-1777
Fax
(770) 952-1779
NPI assigned
Dec 15, 2006
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. Paul William King, DDSNPI 1881761849
Title
President Ceo
Phone
(770) 952-1777

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DN007445 GA
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DN006968 GA Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DN007477 GA

Addresses

Primary practice location

1000 Circle 75 Pkwy
Suite 20
Atlanta, GA 30339-6079

Mailing address

1000 Circle 75 Pkwy
Ste 20
Atlanta, GA 30339-6079
Phone (770) 952-1777

National Provider Directory

National Provider Directory

Locations

1000 Circle 75 Pkwy SE
Ste 20
Atlanta, GA 30339
Phone (770) 952-1777

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427110402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CIRCLE 75 PKWY",
            "address_2": "STE 20",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303396079",
            "telephone_number": "770-952-1777",
            "fax_number": "770-952-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CIRCLE 75 PKWY",
            "address_2": "SUITE 20",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303396079",
            "telephone_number": "770-952-1777",
            "fax_number": "770-952-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HODGES KING & REUDEL HUBER DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "770-952-1777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN007445",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN006968",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN007477",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, 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.