Center for Pan Asian Community Services, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

CENTER FOR PAN ASIAN COMMUNITY SERVICES, INC.

Practice address

6185 Buford Hwy BLDG a
Norcross, GA 30071-2350

Phone

(770) 446-0929

Fax

(770) 446-6977

NPI assigned

Sep 28, 2018

Last updated

Sep 28, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

CENTER FOR PAN ASIAN COMMUNITY SERVICES, INC.As reported in NPPES

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

Authorized official

Name

Chaiwon Kim, CEO

Title

Ceo

Phone

(770) 446-0929

Specialties & licenses 1

Addresses

Other names 2

• COSMO DENTAL Other name
• COSMO HEALTH DENTAL Other name

Tax ID family

Center for Pan Asian Comm3 organizations share this tax ID, including this one

Part of

Center for Pan Asian Comm

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Center for Pan Asian Community Services, Inc.

  dba CPACS @ Cosmo Building B

  • Family Medicine Physician
  • Peachtree Corners, GA
  • NPI 1598406381
  NPD tax ID
• Center for Pan Asian Community Services, Inc.

  dba CPACS COsmo Dental

  • Federally Qualified Health Center (FQHC)
  • Peachtree Corners, GA
  • NPI 1790275253
  NPD tax ID

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538092800000",
    "number": "1588149256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6185 BUFORD HWY BLDG A",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300712350",
            "telephone_number": "770-446-0929",
            "fax_number": "770-446-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6185 BUFORD HWY BLDG A",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300712350",
            "telephone_number": "770-446-0929",
            "fax_number": "770-446-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PAN ASIAN COMMUNITY SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER FOR PAN ASIAN COMMUNITY SERVICES, INC.",
        "enumeration_date": "2018-09-28",
        "last_updated": "2018-09-28",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHAIWON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-446-0929",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COSMO DENTAL",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "COSMO HEALTH DENTAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Catterton Chiropractic
• Stephen K Catterton, DC
• Nancy Young Caulfield, RN
• Eva Cendon Gonzalez
• Center for Intentional Wellness, LLC
• Center for Rare Neurological Diseases
• Centro de Salud Familiar Norcross Medical Clinic LLC
• Centro Medico San Antonio LLC
• Centro Prenatal de Norcross Corp. (Centro Prenatal De Georgia)
• Janet Chakkalapadavil, OTR/L

• Federally Qualified Health Center (FQHC) in Norcross, GA
• Providers in Norcross, GA by specialty
• Federally Qualified Health Center (FQHC) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; 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.