Organization Active NPI

D Thad Baird D M D P C

Doing business as Baird & Baird Family Dentistry

  • General Practice Dentistry
  • Woodstock, GA
National Provider Identifier
1578789285
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
D THAD BAIRD D M D P C
Doing business as
Baird & Baird Family Dentistry
Practice address
4595 Towne Lake Pkwy
BLDG 200, Ste 110
Woodstock, GA 30189-5514
Phone
(770) 517-0444
Fax
(770) 517-0493
NPI assigned
Apr 18, 2007
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Adriane Vogel Kellner
Title
Insurance Coordinator
Phone
(770) 517-0444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

4595 Towne Lake Pkwy
BLDG 200, Ste 110
Woodstock, GA 30189-5514

Mailing address

4595 Towne Lake Pkwy
BLDG 200, Ste 110
Woodstock, GA 30189-5514
Phone (770) 517-0444

Other names 1

  • Baird & Baird Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

4595 Towne Lake Pkwy
Bldg 200
Woodstock, GA 30189
Phone (770) 517-0444

Practitioners & affiliated clinicians

Practitioners 2

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": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1578789285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4595 TOWNE LAKE PKWY",
            "address_2": "BLDG 200, STE 110",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895514",
            "telephone_number": "770-517-0444",
            "fax_number": "770-517-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4595 TOWNE LAKE PKWY",
            "address_2": "BLDG 200, STE 110",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895514",
            "telephone_number": "770-517-0444",
            "fax_number": "770-517-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D THAD BAIRD D M D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "KELLNER",
        "authorized_official_first_name": "ADRIANE",
        "authorized_official_middle_name": "VOGEL",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "770-517-0444"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baird & Baird Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 17, 2008; 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.