NPIMap

Organization Active NPI

Coweta Dentistry Sda PC

Doing business as Coweta Dentistry Associates

  • General Practice Dentistry
  • Newnan, GA
National Provider Identifier
1689118127
Registry record updated Dec 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
COWETA DENTISTRY SDA PC
Doing business as
Coweta Dentistry Associates
Practice address
15 Ruth Dr
Newnan, GA 30265-2317
Phone
(770) 253-3171
Fax
(770) 253-9892
NPI assigned
Dec 16, 2016
Last updated
Dec 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2016

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

Authorized official

Name
Ms. Jenni Snow
Title
Credentialing Coordinator
Phone
(404) 410-1340

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary
Prosthodontics 1223P0700X

Addresses

Primary practice location

15 Ruth Dr
Newnan, GA 30265-2317

Mailing address

15 Ruth Dr
Newnan, GA 30265-2317
Phone (770) 253-3171

Other names 1

  • Coweta Dentistry Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Coweta Dentistry Associates4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481846400000",
    "number": "1689118127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 RUTH DR",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652317",
            "telephone_number": "770-253-3171",
            "fax_number": "770-253-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 RUTH DR",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652317",
            "telephone_number": "770-253-3171",
            "fax_number": "770-253-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COWETA DENTISTRY SDA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-16",
        "last_updated": "2016-12-16",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "JENNI",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "404-410-1340",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coweta Dentistry Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; 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.