Active NPI
C. Tradd Harter, D.M.D.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Athens, GA
National Provider Identifier
1669591947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 012101
- Practice address
- 600 Oglethorpe Ave
Suite 3
Athens, GA 30606-2263 - Phone
- (706) 549-4748
- Fax
- (706) 549-9822
- NPI assigned
- Mar 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 012101 | GA | Primary |
Addresses
Primary practice location
600 Oglethorpe Ave
Suite 3
Athens, GA 30606-2263
Mailing address
600 Oglethorpe Ave
Suite 3
Athens, GA 30606-2263
Phone (706) 549-4748
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012101 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Classic City Orthodontics, LLC | Orthodontics and Dentofacial Orthopedics | 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 and National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Watkinsville, GA
- NPI 1316584758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669591947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 OGLETHORPE AVE",
"address_2": "SUITE 3",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062263",
"telephone_number": "706-549-4748",
"fax_number": "706-549-9822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 OGLETHORPE AVE",
"address_2": "SUITE 3",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062263",
"telephone_number": "706-549-4748",
"fax_number": "706-549-9822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTER",
"first_name": "C.",
"middle_name": "TRADD",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "GA",
"license": "012101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.