Organization Active NPI

Auburn Periodontics of Columbus, LLC

  • Periodontics
  • Columbus, GA
National Provider Identifier
1770132581
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
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

Updated by the provider on Sep 5, 2019

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

Authorized official

Name
Dr. Britany Fabian Matin, DMDNPI 1841547932
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)CodeLicenseStatePrimary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X Primary
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 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

TypeEndpointUseAffiliation
Direct Messaging Address ask@myperiodoc.com

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.