NPIMap

Organization Active NPI

Ragan L Faler, DMD, PC

Doing business as Eagles Landing Periodontics

  • Periodontics
  • Stockbridge, GA
National Provider Identifier
1598219651
Registry record updated Aug 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN012726 Issued in GA
Legal business name
RAGAN L FALER, DMD, PC
Doing business as
Eagles Landing Periodontics
Practice address
239 Village Center Pkwy
Suite 200
Stockbridge, GA 30281-9024
Phone
(678) 289-0382
Fax
(678) 289-0383
NPI assigned
Aug 6, 2016
Last updated
Aug 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2016

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

Authorized official

Name
Ragan L Faler, DMD
Title
President
Phone
(678) 289-0382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DN012726 GA Primary

Addresses

Primary practice location

239 Village Center Pkwy
Suite 200
Stockbridge, GA 30281-9024

Mailing address

239 Village Center Pkwy
Suite 200
Stockbridge, GA 30281-9024
Phone (678) 289-0382

Other names 1

  • Eagles Landing Periodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eagles Landing Periodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1470441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470441600000",
    "number": "1598219651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 VILLAGE CENTER PKWY",
            "address_2": "SUITE 200",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819024",
            "telephone_number": "678-289-0382",
            "fax_number": "678-289-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 VILLAGE CENTER PKWY",
            "address_2": "SUITE 200",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819024",
            "telephone_number": "678-289-0382",
            "fax_number": "678-289-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAGAN L FALER, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-06",
        "last_updated": "2016-08-06",
        "status": "A",
        "authorized_official_last_name": "FALER",
        "authorized_official_first_name": "RAGAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-289-0382",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "DN012726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagles Landing Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2016; 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.