Organization Active NPI

Imagix Dental of Alpharetta LLC

  • Dentist
  • Alpharetta, GA
National Provider Identifier
1497123939
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
IMAGIX DENTAL OF ALPHARETTA LLC
Practice address
11125 Jones Bridge Rd Ste 200
Alpharetta, GA 30022-0002
Phone
(770) 569-0529
Fax
(770) 569-0377
NPI assigned
Sep 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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

Authorized official

Name
Mike Cole
Title
VP Insurance Plan Management
Phone
(727) 726-1611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X GA Primary

Addresses

Primary practice location

11125 Jones Bridge Rd Ste 200
Alpharetta, GA 30022-0002

Mailing address

11125 Jones Bridge Rd Ste 200
Alpharetta, GA 30022-0002
Phone (770) 569-0529

National Provider Directory

National Provider Directory

Locations

11125 Jones Bridge Rd
Ste 200
Johns Creek, GA 30022
Phone (678) 274-6965

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": "1442188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1497123939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11125 JONES BRIDGE RD STE 200",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300220002",
            "telephone_number": "770-569-0529",
            "fax_number": "770-569-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11125 JONES BRIDGE RD STE 200",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300220002",
            "telephone_number": "770-569-0529",
            "fax_number": "770-569-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGIX DENTAL OF ALPHARETTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-14",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "VP INSURANCE PLAN MANAGEMENT",
        "authorized_official_telephone_number": "727-726-1611"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.