Organization Active NPI

Thomas W. Kauffman, DDS, PC

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1477080232
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8679 Issued in GA
Legal business name
THOMAS W. KAUFFMAN, DDS, PC
Practice address
133 Peachtree St NE
Suite 4050
Atlanta, GA 30303-1804
Phone
(404) 524-1981
Fax
(404) 524-8463
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Dr. Thomas W Kauffman, DDSNPI 1851440093
Title
President
Phone
(404) 524-1981

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 DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 8679 GA Primary

Addresses

Primary practice location

133 Peachtree St NE
Suite 4050
Atlanta, GA 30303-1804

Mailing address

133 Peachtree St NE
Suite 4050
Atlanta, GA 30303-1804
Phone (404) 524-1981

Other identifiers 1

IdentifierTypeStateIssuer
1851440093OtherGADENTAL INSURANCE AND MEDICAL INSURANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171011003712 GA Part B Supplier - Clinic/Group Practice 3870868193 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory
Tax ID family
Thomas W Kauffman DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

133 Peachtree St NE
Ste 4050
Atlanta, GA 30303
Phone (404) 524-1981

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": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1477080232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 PEACHTREE ST NE",
            "address_2": "SUITE 4050",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303031804",
            "telephone_number": "404-524-1981",
            "fax_number": "404-524-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 PEACHTREE ST NE",
            "address_2": "SUITE 4050",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303031804",
            "telephone_number": "404-524-1981",
            "fax_number": "404-524-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS W. KAUFFMAN, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "KAUFFMAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-524-1981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "8679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL INSURANCE AND MEDICAL INSURANCE",
            "identifier": "1851440093",
            "state": "GA"
        }
    ],
    "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 May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.