Organization Active NPI

CHCL Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Dacula, GA
National Provider Identifier
1699178657
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
CHCL ORTHODONTICS LLC
Doing business as
Dacula Orthodontics
Practice address
842 Dacula Rd
Suite 102
Dacula, GA 30019-3185
Phone
(770) 963-0083
Fax
(770) 963-0084
NPI assigned
Oct 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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

Authorized official

Name
Dr. Cesar Humberto Cardenas, DMD
Title
Owner/President
Phone
(770) 963-0083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

842 Dacula Rd
Suite 102
Dacula, GA 30019-3185

Mailing address

842 Dacula Rd
Suite 102
Dacula, GA 30019-3185
Phone (770) 963-0083

Other names 1

  • Dacula Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

842 Dacula Rd
#102
Dacula, GA 30019
Phone (770) 963-0083

NPI Registry JSON

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1699178657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 DACULA RD",
            "address_2": "SUITE 102",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300193185",
            "telephone_number": "770-963-0083",
            "fax_number": "770-963-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 DACULA RD",
            "address_2": "SUITE 102",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300193185",
            "telephone_number": "770-963-0083",
            "fax_number": "770-963-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHCL ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "CARDENAS",
        "authorized_official_first_name": "CESAR",
        "authorized_official_middle_name": "HUMBERTO",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "770-963-0083",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dacula Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dacula, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; 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.