Individual provider Active NPI

Christian Boone, D.D.S.

  • Dentist
  • Atlanta, GA
National Provider Identifier
1568338119
Registry record updated Nov 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN124000 Issued in GA
Practice address
3050 MLK Jr Dr SW Ste a
Atlanta, GA 30311-1500
Phone
(404) 696-3163
NPI assigned
Oct 13, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12998 TN
Dentist 122300000X DN124000 GA Primary

Addresses

Primary practice location

3050 MLK Jr Dr SW Ste a
Atlanta, GA 30311-1500

Mailing address

4013 Saint George Walk SW
Powder SPGS, GA 30127-9113

Other practice location 1

759 Mlk Jr Dr NW
Atlanta, GA 30314-4193
Phone (404) 588-0464

Other practice location 2

4057 Nolensville Pike
Nashville, TN 37211-4547
Phone (615) 333-7360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN124000GAMDDentist
12998TNMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764460800000",
    "number": "1568338119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4013 SAINT GEORGE WALK SW",
            "city": "POWDER SPGS",
            "state": "GA",
            "postal_code": "301279113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 MLK JR DR SW STE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303111500",
            "telephone_number": "404-696-3163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "759 Mlk Jr Dr NW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303144193",
            "country_code": "US",
            "telephone_number": "404-588-0464",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4057 Nolensville Pike",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372114547",
            "country_code": "US",
            "telephone_number": "615-333-7360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOONE",
        "first_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-11-30",
        "certification_date": "2025-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "12998",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN124000",
            "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 Nov 30, 2025; 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.