NPIMap

Organization Active NPI

Nippon Clinic Dental Group, Inc.

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1467579425
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN013638 Issued in GA
Legal business name
NIPPON CLINIC DENTAL GROUP, INC.
Practice address
993 Johnson Ferry Rd NE Ste F240
Atlanta, GA 30342-1695
Phone
(404) 843-8910
Fax
(404) 843-3567
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2009

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

Authorized official

Name
Dr. Yoshihito Shimizu, D.D.S.
Title
Cfo
Phone
(404) 843-8910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN013638 GA Primary

Addresses

Primary practice location

993 Johnson Ferry Rd NE Ste F240
Atlanta, GA 30342-1695

Mailing address

993 Johnson Ferry Rd NE Ste F240
Atlanta, GA 30342-1695
Phone (404) 843-8910

National Provider Directory

National Provider Directory

Locations

993 Johnson Ferry Rd
Ste F240
Sandy Springs, GA 30342
Phone (404) 843-8910

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": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1467579425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993 JOHNSON FERRY RD NE STE F240",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421695",
            "telephone_number": "404-843-8910",
            "fax_number": "404-843-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 JOHNSON FERRY RD NE STE F240",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421695",
            "telephone_number": "404-843-8910",
            "fax_number": "404-843-3567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIPPON CLINIC DENTAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "SHIMIZU",
        "authorized_official_first_name": "YOSHIHITO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "404-843-8910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013638",
            "primary": true
        }
    ],
    "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 Jan 7, 2009; 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.