Active NPI
Christian Boone, D.D.S.
- Dentist
- Atlanta, GA
National Provider Identifier
1568338119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN124000
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DN124000 | GA | MD | Dentist |
| 12998 | TN | MD | General 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.