Organization Active NPI

Reagin Family Dentistry, PC

  • Dental Clinic/Center
  • Dunwoody, GA
National Provider Identifier
1710540752
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
REAGIN FAMILY DENTISTRY, PC
Practice address
1370 Center Dr Ste 101
Dunwoody, GA 30338-4132
Phone
(770) 671-9199
NPI assigned
Apr 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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

Authorized official

Name
Dr. Todd ReaginNPI 1548452311
Title
Owner
Phone
(770) 671-9199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1370 Center Dr Ste 101
Dunwoody, GA 30338-4132

Mailing address

1370 Center Dr Ste 101
Dunwoody, GA 30338-4132
Phone (770) 671-9199

Other names 1

  • Todd A. Reagin,D.M.D. Former legal business name

National Provider Directory

National Provider Directory

Locations

1370 Center Dr
Ste 101
Dunwoody, GA 30338
Phone (770) 671-9199

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555372800000",
    "number": "1710540752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 CENTER DR STE 101",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384132",
            "telephone_number": "770-671-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 CENTER DR STE 101",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384132",
            "telephone_number": "770-671-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAGIN FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-16",
        "last_updated": "2019-04-16",
        "status": "A",
        "authorized_official_last_name": "REAGIN",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-671-9199",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Todd A. Reagin,D.M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Dunwoody, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; 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.