Individual provider Active NPI

Elizabeth Check, D.D.S.

  • Pediatric Dentistry
  • Conyers, GA
National Provider Identifier
1760634224
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN014372 Issued in GA
Practice address
1806 Over Lake Dr SE
Conyers, GA 30013-1745
Phone
(770) 760-7900
NPI assigned
Oct 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X RESIDENCY PERMIT 665 FL
Pediatric Dentistry 1223P0221X DN014372 GA Primary

Addresses

Primary practice location

1806 Over Lake Dr SE
Conyers, GA 30013-1745

Mailing address

10 Springfield Cross
Savannah, GA 31411-2131
Phone (912) 547-2018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RESIDENCY PERMIT 665FLMDPediatric Dentist
DN014372GAMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1760634224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SPRINGFIELD CROSS",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314112131",
            "telephone_number": "912-547-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 OVER LAKE DR SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300131745",
            "telephone_number": "770-760-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHECK",
        "first_name": "ELIZABETH",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "RESIDENCY PERMIT 665",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN014372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.