Active NPI
Lanier Orthodontics PA
- Orthodontics and Dentofacial Orthopedics Dentistry
- Gainesville, GA
National Provider Identifier
1508954116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN011067
- Legal business name
- LANIER ORTHODONTICS PA
- Practice address
- 1215 Sherwood Park Dr NE
Gainesville, GA 30501-3444 - Phone
- (770) 532-4156
- Fax
- (770) 536-1529
- NPI assigned
- Oct 10, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kym Maddox
- Title
- Corporate Secretary
- Phone
- (770) 532-8104
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN011067 | GA | Primary |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN011899 | GA |
Addresses
Primary practice location
1215 Sherwood Park Dr NE
Gainesville, GA 30501-3444
Mailing address
1215 Sherwood Park Dr NE
Gainesville, GA 30501-3444
Phone (770) 532-4156
National Provider Directory
National Provider DirectoryLocations
1215 Sherwood Park Dr NE
Gainesville, GA 30501
Phone (770) 532-4156
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Gainesville, GA
- NPI 1477640365
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Gainesville, GA
- NPI 1902994817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1508954116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 SHERWOOD PARK DR NE",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013444",
"telephone_number": "770-532-4156",
"fax_number": "770-536-1529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 SHERWOOD PARK DR NE",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013444",
"telephone_number": "770-532-4156",
"fax_number": "770-536-1529"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANIER ORTHODONTICS PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MADDOX",
"authorized_official_first_name": "KYM",
"authorized_official_title_or_position": "CORPORATE SECRETARY",
"authorized_official_telephone_number": "770-532-8104"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "GA",
"license": "DN011067",
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "GA",
"license": "DN011899",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, GA
- Lanier Health Link
- Lanier Interventional Pain Center, LLC
- Lanier Interventional Pain Center, LLC (LIPC Surgery Center)
- Lanier OB GYN Associates 2 LLC
- Lanier Obstetrics and Gynecology Associates
- Lanier Pharmacy Acquisition Corp. (Lanier Pharmacy)
- Lanier Pharmacy, LLC (Lanier Pharmacy)
- Lanier Therapy in Motion
- Lanier Treatment Center
- Lanier Urgent Care
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.