NPIMap

Organization Active NPI

R.L.O'Kelley D.D.S.P.a.

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1780897124
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7464 Issued in GA
Legal business name
R.L.O'KELLEY D.D.S.P.A.
Practice address
3100 E Shadowlawn Ave NE
Atlanta, GA 30305-2406
Phone
(404) 261-3100
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Dr. Robert L O'KelleyNPI 1548446768
Title
Pres
Phone
(404) 261-3100

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 7464 GA Primary

Addresses

Primary practice location

3100 E Shadowlawn Ave NE
Atlanta, GA 30305-2406

Mailing address

3100 E Shadowlawn Ave NE
Atlanta, GA 30305-2406

National Provider Directory

National Provider Directory

Locations

3100 E Shadowlawn Ave NE
Atlanta, GA 30305
Phone (404) 261-3100

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": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1780897124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 E SHADOWLAWN AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 E SHADOWLAWN AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052406",
            "telephone_number": "404-261-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.L.O'KELLEY D.D.S.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "O'KELLEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "404-261-3100",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "7464",
            "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 Jan 17, 2008; 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.