Organization Active NPI

Dental Now Kids LLC

  • Dental Clinic/Center
  • Norcross, GA
National Provider Identifier
1659904241
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DENTAL NOW KIDS LLC
Practice address
4151 Steve Reynolds Blvd Ste 2
Norcross, GA 30093-3060
Phone
(678) 831-4414
NPI assigned
Feb 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Authorized official

Name
Maritza Zuniga
Title
Credentialing Specialist
Phone
(678) 831-4414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4151 Steve Reynolds Blvd Ste 2
Norcross, GA 30093-3060

Mailing address

4151 Steve Reynolds Blvd Ste 2
Norcross, GA 30093-3060
Phone (678) 831-4414

Other identifiers 1

IdentifierTypeStateIssuer
003214417IMedicaidGA

Other names 1

  • Dental Now Kids LLC Doing business as

National Provider Directory

National Provider Directory

Locations

4151 Steve Reynolds Blvd
Ste 2
Norcross, GA 30093
Phone (678) 831-4414

NPI Registry JSON

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1659904241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 STEVE REYNOLDS BLVD STE 2",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300933060",
            "telephone_number": "678-831-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 STEVE REYNOLDS BLVD STE 2",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300933060",
            "telephone_number": "678-831-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL NOW KIDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "ZUNIGA",
        "authorized_official_first_name": "MARITZA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "678-831-4414"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003214417I",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Now Kids LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.