NPIMap

Organization Active NPI

John K. Dooley, D.D.S., P.C.

  • Dentist
  • Woodstock, GA
National Provider Identifier
1639364854
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN009720 Issued in GA
Legal business name
JOHN K. DOOLEY, D.D.S., P.C.
Practice address
355 Parkway 575
Suite 100
Woodstock, GA 30188-3882
Phone
(770) 924-1657
Fax
(770) 924-8301
NPI assigned
Sep 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Dr. John Kevin Dooley, D.D.S.NPI 1609925601
Title
President
Phone
(770) 924-1657

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN009720 GA Primary

Addresses

Primary practice location

355 Parkway 575
Suite 100
Woodstock, GA 30188-3882

Mailing address

355 Parkway 575
Suite 100
Woodstock, GA 30188-3882
Phone (770) 924-1657

National Provider Directory

National Provider Directory

Locations

355 Parkway 575
Ste 100
Woodstock, GA 30188
Phone (770) 924-1657

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1639364854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 PARKWAY 575",
            "address_2": "SUITE 100",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883882",
            "telephone_number": "770-924-1657",
            "fax_number": "770-924-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 PARKWAY 575",
            "address_2": "SUITE 100",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883882",
            "telephone_number": "770-924-1657",
            "fax_number": "770-924-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN K. DOOLEY, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "DOOLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-924-1657",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN009720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.