Organization Active NPI

Donald R. Rozema DDS, PC

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1538308309
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DNES000136 Issued in GA
Legal business name
DONALD R. ROZEMA DDS, PC
Practice address
300 West Wieuca Road NE
Building 2 Suite 210
Atlanta, GA 30342-3352
Phone
(404) 252-4220
Fax
(404) 252-4013
NPI assigned
Feb 18, 2009
Last updated
Feb 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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

Authorized official

Name
Dr. Donald Ray Rozema, D.D.S.NPI 1861733966
Title
Owner/ Ceo
Phone
(404) 252-4220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DNES000136 GA Primary

Addresses

Primary practice location

300 West Wieuca Road NE
Building 2 Suite 210
Atlanta, GA 30342-3352

Mailing address

300 West Wieuca Road NE
Building 2 Suite 210
Atlanta, GA 30342-3352
Phone (404) 252-4220

National Provider Directory

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1538308309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WEST WIEUCA ROAD NE",
            "address_2": "BUILDING 2 SUITE 210",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423352",
            "telephone_number": "404-252-4220",
            "fax_number": "404-252-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WEST WIEUCA ROAD NE",
            "address_2": "BUILDING 2 SUITE 210",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423352",
            "telephone_number": "404-252-4220",
            "fax_number": "404-252-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD R. ROZEMA DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "ROZEMA",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER/ CEO",
        "authorized_official_telephone_number": "404-252-4220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DNES000136",
            "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 Feb 18, 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.