Active NPI
Auburn Periodontics of Columbus, LLC
- Periodontics
- Columbus, GA
National Provider Identifier
1770132581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- Legal business name
- AUBURN PERIODONTICS OF COLUMBUS, LLC
- Practice address
- 400 Brookstone Centre Pkwy Ste 100
Columbus, GA 31904-3640 - Phone
- (706) 222-7149
- NPI assigned
- Sep 5, 2019
- 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
- Dr. Britany Fabian Matin, DMD
- Title
- President, Ceo
- Phone
- (334) 444-0571
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | Primary | ||
| Prosthodontics | 1223P0700X |
Addresses
Primary practice location
400 Brookstone Centre Pkwy Ste 100
Columbus, GA 31904-3640
Mailing address
400 Brookstone Centre Pkwy Ste 100
Columbus, GA 31904-3640
Phone (706) 222-7149
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ask@myperiodoc.com |
National Provider Directory
National Provider DirectoryLocations
400 Brookstone Centre Pkwy
Ste 100
Columbus, GA 31904
Phone (706) 222-7149
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Periodontics
- Auburn, AL
- NPI 1841547932
-
- Periodontics
- Auburn, AL
- NPI 1790344406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1567641600000",
"number": "1770132581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 BROOKSTONE CENTRE PKWY STE 100",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319043640",
"telephone_number": "706-222-7149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 BROOKSTONE CENTRE PKWY STE 100",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319043640",
"telephone_number": "706-222-7149"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUBURN PERIODONTICS OF COLUMBUS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-05",
"last_updated": "2019-09-05",
"status": "A",
"authorized_official_last_name": "MATIN",
"authorized_official_first_name": "BRITANY",
"authorized_official_middle_name": "FABIAN",
"authorized_official_title_or_position": "PRESIDENT, CEO",
"authorized_official_telephone_number": "334-444-0571",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223P0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Prosthodontics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ask@myperiodoc.com",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "400 Brookstone Centre Pkwy Ste 100",
"city": "Columbus",
"state": "GA",
"country_code": "US",
"postal_code": "319043640",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.