Individual provider Active NPI

Amy C. Cates, D.M.D.

  • General Practice Dentistry
  • Buford, GA
National Provider Identifier
1659550655
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN011855 Issued in GA
Practice address
11 Buford Village Way
Suite 111
Buford, GA 30518-8845
Phone
(678) 765-8011
NPI assigned
Oct 26, 2007
Last updated
Feb 17, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN011855 GA Primary

Addresses

Primary practice location

11 Buford Village Way
Suite 111
Buford, GA 30518-8845

Mailing address

11 Buford Village Way
Suite 111
Buford, GA 30518-8845
Phone (678) 765-8011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150702000659 GA Order and Referring Only - Other (Non-Physician) 8224340344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN011855GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Amy Cates, DMD, PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1659550655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BUFORD VILLAGE WAY",
            "address_2": "SUITE 111",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305188845",
            "telephone_number": "678-765-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BUFORD VILLAGE WAY",
            "address_2": "SUITE 111",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305188845",
            "telephone_number": "678-765-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATES",
        "first_name": "AMY",
        "middle_name": "C.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-26",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN011855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

Verify at the official NPI Registry.