NPIMap

Organization Active NPI

Verde Pointe Dental Associates, LLC

  • General Practice Dentistry
  • Marietta, GA
National Provider Identifier
1629406004
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN009687 Issued in GA
Legal business name
VERDE POINTE DENTAL ASSOCIATES, LLC
Practice address
3698 Largent Way NW
Suite 202
Marietta, GA 30064-5923
Phone
(770) 423-4900
Fax
(770) 590-8694
NPI assigned
Oct 23, 2013
Last updated
Oct 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Authorized official

Name
Dr. Kirk Andrew Kimmerling, D.D.S.NPI 1114085198
Title
Owner /Dentist
Phone
(770) 423-4900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN013891 GA
General Practice Dentistry 1223G0001X DN009687 GA Primary

Addresses

Primary practice location

3698 Largent Way NW
Suite 202
Marietta, GA 30064-5923

Mailing address

3698 Largent Way NW
Suite 202
Marietta, GA 30064-5923
Phone (770) 423-4900

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1382486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1629406004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3698 LARGENT WAY NW",
            "address_2": "SUITE 202",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300645923",
            "telephone_number": "770-423-4900",
            "fax_number": "770-590-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3698 LARGENT WAY NW",
            "address_2": "SUITE 202",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300645923",
            "telephone_number": "770-423-4900",
            "fax_number": "770-590-8694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERDE POINTE DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "KIMMERLING",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER /DENTIST",
        "authorized_official_telephone_number": "770-423-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013891",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN009687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.