NPIMap

Organization Active NPI

Chatsworth Family Dentistry, PC

  • Dentist
  • Chatsworth, GA
National Provider Identifier
1609048610
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
011116 Issued in GA
Legal business name
CHATSWORTH FAMILY DENTISTRY, PC
Practice address
221 N 4TH Ave
Chatsworth, GA 30705-2420
Phone
(706) 695-8318
NPI assigned
Mar 31, 2008
Last updated
Mar 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Sondra Rebecca Griffin
Title
Office Manager
Phone
(706) 695-8318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 011116 GA Primary

Addresses

Primary practice location

221 N 4TH Ave
Chatsworth, GA 30705-2420

Mailing address

PO Box 1096
Chatsworth, GA 30705-1096
Phone (706) 695-8318

National Provider Directory

National Provider Directory

Locations

221 N 4th Ave
Chatsworth, GA 30705
Phone (706) 695-8318

Practitioners & affiliated clinicians

Practitioners 4

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": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1609048610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1096",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307051096",
            "telephone_number": "706-695-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N 4TH AVE",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307052420",
            "telephone_number": "706-695-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATSWORTH FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "SONDRA",
        "authorized_official_middle_name": "REBECCA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-695-8318"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "011116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.