NPIMap

Organization Active NPI

Marie C. Schweinebraten, Dmdpc

  • Periodontics
  • Norcross, GA
National Provider Identifier
1609072552
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
9006 Issued in GA
Legal business name
MARIE C. SCHWEINEBRATEN, DMDPC
Practice address
3953 Holcomb Bridge Rd
Suite 100
Norcross, GA 30092-2207
Phone
(770) 446-2640
Fax
(770) 446-6301
NPI assigned
Jun 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Marie C Schweinebraten, DMD
Title
Owner
Phone
(770) 446-2640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 9006 GA Primary

Addresses

Primary practice location

3953 Holcomb Bridge Rd
Suite 100
Norcross, GA 30092-2207

Mailing address

3953 Holcomb Bridge Rd
Suite 100
Norcross, GA 30092-2207
Phone (770) 446-2640

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609072552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3953 HOLCOMB BRIDGE RD",
            "address_2": "SUITE 100",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922207",
            "telephone_number": "770-446-2640",
            "fax_number": "770-446-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3953 HOLCOMB BRIDGE RD",
            "address_2": "SUITE 100",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922207",
            "telephone_number": "770-446-2640",
            "fax_number": "770-446-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE C. SCHWEINEBRATEN, DMDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHWEINEBRATEN",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-446-2640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "9006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.