Organization Active NPI

Smile Magic

  • Pediatric Dentistry
  • Alpharetta, GA
National Provider Identifier
1700126398
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN012444 Issued in GA
Legal business name
SMILE MAGIC
Practice address
2880 Old Alabama Rd
Suite 400
Alpharetta, GA 30022-5051
Phone
(770) 480-3751
NPI assigned
Feb 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Authorized official

Name
Deanna Maguire
Title
Office Manager
Phone
(770) 480-3751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X DN012444 GA Primary

Addresses

Primary practice location

2880 Old Alabama Rd
Suite 400
Alpharetta, GA 30022-5051

Mailing address

2880 Old Alabama Rd
Suite 400
Alpharetta, GA 30022-5051
Phone (770) 480-3751

Other identifiers 2

IdentifierTypeStateIssuer
DN012444OtherGAGEORGIA STATE DENTAL LICENSE
DN012634OtherGAGEORGIA STATE DENTAL LICENSE

National Provider Directory

National Provider Directory

Locations

2880 Old Alabama Rd
Ste 400
Johns Creek, GA 30022
Phone (678) 240-2777

NPI Registry JSON

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1700126398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 OLD ALABAMA RD",
            "address_2": "SUITE 400",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300225051",
            "telephone_number": "770-480-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 OLD ALABAMA RD",
            "address_2": "SUITE 400",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300225051",
            "telephone_number": "770-480-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE MAGIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-19",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "MAGUIRE",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-480-3751"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN012444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA STATE DENTAL LICENSE",
            "identifier": "DN012444",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA STATE DENTAL LICENSE",
            "identifier": "DN012634",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.