Peachtree Hills Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PEACHTREE HILLS PEDIATRIC DENTISTRY

Practice address

2385 Peachtree Rd NE Ste A2Ab
Atlanta, GA 30305-4139

Phone

(404) 750-4442

NPI assigned

Oct 4, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell Vaughan, DDSNPI 1598803868

Title

President

Phone

(404) 750-4442

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mitchell Duane Vaughan, DDS

  • Pediatric Dentistry
  • Atlanta, GA
  • NPI 1598803868
  NPD Authorized official
• Tamerah Lorraine Marable, DDS

  • Pediatric Dentistry
  • Atlanta, GA
  • NPI 1952751695
  NPD

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570147200000",
    "number": "1629619200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2385 PEACHTREE RD NE STE A2AB",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303054139",
            "telephone_number": "404-750-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 PEACHTREE RD NE STE A2AB",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303054139",
            "telephone_number": "404-750-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE HILLS PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-750-4442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1598803868",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@peachtreehillspd.com",
            "affiliation": "N",
            "address_1": "2385 Peachtree Rd NE Ste A2Ab",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303054139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Peachtree Emergency Physicians LLC
• Peachtree Eye Associates P C
• Peachtree Family Psychiatry Clinic
• Peachtree Family Services
• Peachtree Gynecology, P.C.
• Peachtree Home Care
• Peachtree Internal Medicine, P.C.
• Peachtree Kidney & Hypertension Specialists, LLC
• Peachtree Lab Services
• Peachtree Laboratory Associates PC

• Pediatric Dentistry in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.