C H Pitts Enterprises, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

009828 Issued in GA

Legal business name

C H PITTS ENTERPRISES, INC.

Practice address

307 Church St
Suite a
Lagrange, GA 30240-2700

Phone

(706) 882-0591

Fax

(706) 845-9546

NPI assigned

Oct 8, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Laura W Webb

Title

Office Manager

Phone

(706) 882-0591

Specialties & licenses 2

Addresses

Other identifiers 2

Tax ID family

C H Pitts Enterprises Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kids Zone Dentistry & Lagrange Family Dental

  • Dentist
  • Lagrange, GA
  • NPI 1669805503
  NPD tax ID

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349654400000",
    "number": "1750633319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 CHURCH ST",
            "address_2": "SUITE A",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302402700",
            "telephone_number": "706-882-0591",
            "fax_number": "706-845-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 CHURCH ST",
            "address_2": "SUITE A",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302402700",
            "telephone_number": "706-882-0591",
            "fax_number": "706-845-9546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C H PITTS ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-08",
        "last_updated": "2012-10-08",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-882-0591",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "009828",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "014409",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003125834A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191678896B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cory C Butzon, MD
• David J Buuck, PT DPT
• Laura D Byard, LPC
• Baxlee Bynum, M.ED, NCC
• Amanda Byrd, BSN, RN
• C.R. of Lagrange, LLC
• Tabatha Dawn Calhoun, MA, BCBA
• Calumet Center for Healing and Attachment
• Camp Academia, Inc.
• Darnaisha Campbell, MA, CLC, DOULA

• Dentist in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.