NPIMap

Organization Active NPI

Novus Orthodontics of Georgia LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Acworth, GA
National Provider Identifier
1821665852
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
NOVUS ORTHODONTICS OF GEORGIA LLC
Practice address
1825 Mars Hill Rd NW
Acworth, GA 30101-4518
Phone
(770) 422-9375
NPI assigned
Jun 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Authorized official

Name
Mrs. Jenni Snow
Title
Credentialing Specialist
Phone
(678) 986-7116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1825 Mars Hill Rd NW
Acworth, GA 30101-4518

Mailing address

1825 Mars Hill Rd NW
Acworth, GA 30101-4518
Phone (770) 422-9375

National Provider Directory

National Provider Directory
Tax ID family
Novus Orthodontics of Georgia LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1821665852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 MARS HILL RD NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014518",
            "telephone_number": "770-422-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 MARS HILL RD NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014518",
            "telephone_number": "770-422-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVUS ORTHODONTICS OF GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "JENNI",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "678-986-7116",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.