NPIMap

Organization Active NPI

Carter Rockbridge General Dentistry, PC

  • Dental Clinic/Center
  • Norcross, GA
National Provider Identifier
1508312109
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN011230 Issued in GA
Legal business name
CARTER ROCKBRIDGE GENERAL DENTISTRY, PC
Practice address
5050 Jimmy Carter Blvd
Ste. 320
Norcross, GA 30093-2711
Phone
(770) 662-5955
Fax
(770) 662-5628
NPI assigned
Sep 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Authorized official

Name
Gloria Stingley, DMD
Title
Owner
Phone
(770) 662-5955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN011230 GA Primary

Addresses

Primary practice location

5050 Jimmy Carter Blvd
Ste. 320
Norcross, GA 30093-2711

Mailing address

5050 Jimmy Carter Blvd
Ste. 320
Norcross, GA 30093-2711
Phone (770) 662-5955

National Provider Directory

National Provider Directory
Tax ID family
Carter Rockbridge General Dentistry 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.

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": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1508312109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 JIMMY CARTER BLVD",
            "address_2": "STE. 320",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932711",
            "telephone_number": "770-662-5955",
            "fax_number": "770-662-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 JIMMY CARTER BLVD",
            "address_2": "STE. 320",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932711",
            "telephone_number": "770-662-5955",
            "fax_number": "770-662-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTER ROCKBRIDGE GENERAL DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "STINGLEY",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-662-5955",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "DN011230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.