Northside Cosmetic and Dental Implant Center, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NORTHSIDE COSMETIC AND DENTAL IMPLANT CENTER, PC

Practice address

5555 Peachtree Dunwoody Rd Ste 140
Atlanta, GA 30342-5032

Phone

(678) 944-9422

NPI assigned

Jan 31, 2022

Last updated

Jan 31, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kishan Dhanani

Title

Owner

Phone

(678) 944-9422

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1629721634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 PEACHTREE DUNWOODY RD STE 140",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303425032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 PEACHTREE DUNWOODY RD STE 140",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303425032",
            "telephone_number": "678-944-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE COSMETIC AND DENTAL IMPLANT CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "DHANANI",
        "authorized_official_first_name": "KISHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-944-9422"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kishan@76dentalpartners.com",
            "affiliation": "N",
            "address_1": "5555 Peachtree Dunwoody Rd Ste 140",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303425032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Dental Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.