NPIMap

Organization Active NPI

L R Smiles of Vinnings, LLC

  • Dental Clinic/Center
  • Atlanta, GA
National Provider Identifier
1558006148
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
L R SMILES OF VINNINGS, LLC
Practice address
4200 Northside Pkwy NW Ste 200
Atlanta, GA 30327-3007
Phone
(404) 841-9500
NPI assigned
Apr 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Authorized official

Name
Komal Bhat, DDSNPI 1700248085
Title
Owner Dentist
Phone
(717) 424-7832

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4200 Northside Pkwy NW Ste 200
Atlanta, GA 30327-3007

Mailing address

4200 Northside Pkwy NW Ste 200
Atlanta, GA 30327-3007

Other names 1

  • Jerry Richman, DDS Other name

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.

NPI Registry JSON

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1558006148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 NORTHSIDE PKWY NW STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303273007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 NORTHSIDE PKWY NW STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303273007",
            "telephone_number": "404-841-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L R SMILES OF VINNINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-28",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "BHAT",
        "authorized_official_first_name": "KOMAL",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "717-424-7832",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jerry Richman, DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 28, 2022; 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.