Brodie D. Orr, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN122435 Issued in GA

Practice address

285 Elm St Ste 200
Cumming, GA 30040-8233

Phone

(770) 887-2915

NPI assigned

Jul 26, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Dental Associates LLC

  • General Practice Dentistry
  • Cumming, GA
  • NPI 1689731457
  NPD (past)

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1598438764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6132 JOHN ORR DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300405652",
            "telephone_number": "770-280-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 ELM ST STE 200",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300408233",
            "telephone_number": "770-887-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORR",
        "first_name": "BRODIE",
        "middle_name": "D.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN122435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Open MRI of Georgia, Inc
• Diane Orado, LPC
• Susan Rachelle Orgbon, LPN
• Courtney Irene Orlosky
• Sean Orourke Sr., D.M.D.
• Orris Vein Center
• Gary Steven Orris, M.D.
• Ellen Ortlip
• Kayla Osborn, DPT
• Keith D. Osborn, M.D.

• General Practice Dentistry in Cumming, GA
• Providers in Cumming, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.