Active NPI
Imagix Dental of Norcross LLC
- Dentist
- Norcross, GA
National Provider Identifier
1710358841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- IMAGIX DENTAL OF NORCROSS LLC
- Practice address
- 5270 Peachtree Pkwy Ste 101
Norcross, GA 30092-2558 - Phone
- (770) 448-9333
- Fax
- (678) 990-0359
- NPI assigned
- Oct 15, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mike Cole
- Title
- VP Insurance Plan Management
- Phone
- (727) 726-1611
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | GA | Primary |
Addresses
Primary practice location
5270 Peachtree Pkwy Ste 101
Norcross, GA 30092-2558
Mailing address
5270 Peachtree Pkwy Ste 101
Norcross, GA 30092-2558
National Provider Directory
National Provider DirectoryLocations
5270 Peachtree Pkwy
Ste 101
Norcross, GA 30092
Phone (770) 448-9333
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Norcross, GA
- NPI 1366429169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444867200000",
"number": "1710358841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5270 PEACHTREE PKWY STE 101",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300922558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5270 PEACHTREE PKWY STE 101",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300922558",
"telephone_number": "770-448-9333",
"fax_number": "678-990-0359"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMAGIX DENTAL OF NORCROSS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-15",
"last_updated": "2015-10-15",
"status": "A",
"authorized_official_last_name": "COLE",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "VP INSURANCE PLAN MANAGEMENT",
"authorized_official_telephone_number": "727-726-1611"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norcross, GA
- Icare Kids Dentistry Inc.
- Iclear Orthodontics and Braces North LLC (Orthodontic excellence)
- Ijb Helathcare Services, PC (Olugbemida Osoba, MD)
- Daniel Ikpechukwu, MS, ICADC
- Imagix 2 Dental
- In-Quest Medical Research, LLC
- Shah Inayat, M.D.
- Christine Dale V Indech, M.D.
- Independent Physical Therapy of Ga, LLC
- Independent Physical Therapy of Ga, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.