Organization Active NPI

Calhoun Dentistry, LLC

Doing business as Calhoun Family Dentsitry

  • General Practice Dentistry
  • Calhoun, GA
National Provider Identifier
1558773218
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN013184 Issued in GA
Legal business name
CALHOUN DENTISTRY, LLC
Doing business as
Calhoun Family Dentsitry
Practice address
908 Red Bud Rd NE
Calhoun, GA 30701-1969
Phone
(706) 629-8822
Fax
(706) 629-8893
NPI assigned
May 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Authorized official

Name
Ravi P Mereddy, DMD
Title
Owner
Phone
(706) 629-8822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN013184 GA Primary

Addresses

Primary practice location

908 Red Bud Rd NE
Calhoun, GA 30701-1969

Mailing address

PO Box 906
Calhoun, GA 30703-0906
Phone (706) 629-8822

Other names 1

  • Calhoun Family Dentsitry Doing business as

National Provider Directory

National Provider Directory

Locations

908 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 629-8822

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": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401235200000",
    "number": "1558773218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 906",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307030906",
            "telephone_number": "706-629-8822",
            "fax_number": "706-629-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 RED BUD RD NE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307011969",
            "telephone_number": "706-629-8822",
            "fax_number": "706-629-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALHOUN DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "MEREDDY",
        "authorized_official_first_name": "RAVI",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-629-8822",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calhoun Family Dentsitry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Calhoun, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.