NPIMap

Organization Active NPI

Woodstock Dentistry, PC

  • General Practice Dentistry
  • Woodstock, GA
National Provider Identifier
1578090056
Registry record updated May 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WOODSTOCK DENTISTRY, PC
Practice address
1428 Towne Lake Pkwy Ste 99
Woodstock, GA 30189-8265
Phone
(678) 203-2229
NPI assigned
May 16, 2017
Last updated
May 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2017

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

Authorized official

Name
Dr. Katie McCann, DDS
Title
Owner
Phone
(678) 203-2229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1428 Towne Lake Pkwy Ste 99
Woodstock, GA 30189-8265

Mailing address

17000 Red Hill Ave
Irvine, CA 92614-5626

National Provider Directory

National Provider Directory

Locations

1428 Towne Lake Pkwy
Ste 99
Woodstock, GA 30189
Phone (678) 203-2229

Practitioners & affiliated clinicians

Practitioners 12

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": "1494892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494892800000",
    "number": "1578090056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 TOWNE LAKE PKWY STE 99",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301898265",
            "telephone_number": "678-203-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODSTOCK DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-16",
        "last_updated": "2017-05-16",
        "status": "A",
        "authorized_official_last_name": "MCCANN",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-203-2229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2017; 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.