NPIMap

Organization Active NPI

Victor D. Van Greuningen,D.M.D.,P.C.

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1750504445
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12527 Issued in GA
Legal business name
VICTOR D. VAN GREUNINGEN,D.M.D.,P.C.
Practice address
4294 Kingston Gate CV
Atlanta, GA 30341-1041
Phone
(770) 454-0510
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Victor D. Van Greuningen, D.M.D.NPI 1023238334
Title
Ceo
Phone
(770) 454-0510

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12527 GA Primary

Addresses

Primary practice location

4294 Kingston Gate CV
Atlanta, GA 30341-1041

Mailing address

4294 Kingston Gate CV
Atlanta, GA 30341-1041

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750504445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4294 KINGSTON GATE CV",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4294 KINGSTON GATE CV",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411041",
            "telephone_number": "770-454-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR D. VAN GREUNINGEN,D.M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAN GREUNINGEN",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-454-0510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "12527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.