Deidra Rondeno DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DEIDRA RONDENO DDS, PC

Practice address

52 Executive Park South NE
Suite 5203
Atlanta, GA 30329-2217

Phone

(404) 942-0086

Fax

(208) 955-2434

NPI assigned

May 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Deidra Rondeno, DDSNPI 1255400966

Title

President

Phone

(404) 942-0086

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deidra Rondeno, DDS

  • Dentist
  • Atlanta, GA
  • NPI 1255400966
  NPD (past) Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790995454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 EXECUTIVE PARK SOUTH NE",
            "address_2": "SUITE 5203",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292217",
            "telephone_number": "404-942-0086",
            "fax_number": "208-955-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 EXECUTIVE PARK SOUTH NE",
            "address_2": "SUITE 5203",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292217",
            "telephone_number": "404-942-0086",
            "fax_number": "208-955-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEIDRA RONDENO DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RONDENO",
        "authorized_official_first_name": "DEIDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-942-0086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Orleans Degraft Hanson
• James F Degroot, PH. D
• Amber Degryse, MD
• Rediate Degu
• Mariale Dehart
• Raina Deisch, RBT
• Chelsea Tate Deitelzweig
• Chris Dejelo
• Selamawit Dejene, PHARMD.
• Julia Dejesso

• General Practice Dentistry in Atlanta, GA
• Providers in Atlanta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.