Active NPI
Brittany Thome Hoover, DMD
- General Practice Dentistry
- Norcross, GA
National Provider Identifier
1689836470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13690
- Practice address
- 1590 Oakbrook Dr
Suite 200
Norcross, GA 30093-2245 - Phone
- (770) 449-0836
- Fax
- (770) 441-0299
- NPI assigned
- Jul 2, 2008
- Last updated
- Feb 12, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13690 | GA | Primary |
Addresses
Primary practice location
1590 Oakbrook Dr
Suite 200
Norcross, GA 30093-2245
Mailing address
3238 Krisam Creek Dr.
Loganville, GA 30052
Phone (770) 466-0474
Other names 1
- Brittany Thome Hayes
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: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13690 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ethne Health | Current | Accepting new patients | |
| Ethne Health, Inc | Current | Accepting new patients | |
| Creekside Dentistry, LLC | General Practice | Past | Accepting new patients |
Locations
4122 E Ponce de Leon Ave
Ste 5
Clarkston, GA 30021
Phone (404) 294-8385
980 Rowland St
#4190
Clarkston, GA 30021
Phone (470) 799-0044
Interoperability endpoints
- https://api.platform.athenahealth.com/18426/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Clarkston, GA
- NPI 1538646054
-
- Dental Clinic/Center
- Clarkston, GA
- NPI 1073389219
-
- General Practice Dentistry
- Loganville, GA
- NPI 1558768770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392163200000",
"number": "1689836470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3238 KRISAM CREEK DR.",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "30052",
"telephone_number": "770-466-0474",
"fax_number": "770-441-0299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1590 OAKBROOK DR",
"address_2": "SUITE 200",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300932245",
"telephone_number": "770-449-0836",
"fax_number": "770-441-0299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOVER",
"first_name": "BRITTANY",
"middle_name": "THOME",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-02",
"last_updated": "2014-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "13690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRITTANY",
"last_name": "HAYES",
"middle_name": "THOME",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}
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 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.