Organization Active NPI

Ragan L Faler DMD PC

  • Periodontics
  • Stockbridge, GA
National Provider Identifier
1831542083
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
RAGAN L FALER DMD PC
Practice address
239 Village Center Pkwy
Suite 200
Stockbridge, GA 30281-9024
Phone
(678) 289-0382
Fax
(678) 289-0383
NPI assigned
Jul 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Authorized official

Name
Ragan L Faler, DMD
Title
Owner/Operator
Phone
(678) 289-0382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

239 Village Center Pkwy
Suite 200
Stockbridge, GA 30281-9024

Mailing address

239 Village Center Pkwy
Suite 200
Stockbridge, GA 30281-9024
Phone (678) 289-0382

National Provider Directory

National Provider Directory
Tax ID family
Eagles Landing Periodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

239 Village Center Pkwy
Ste 200
Stockbridge, GA 30281
Phone (678) 289-0382

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": "1469145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469145600000",
    "number": "1831542083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 VILLAGE CENTER PKWY",
            "address_2": "SUITE 200",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819024",
            "telephone_number": "678-289-0382",
            "fax_number": "678-289-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 VILLAGE CENTER PKWY",
            "address_2": "SUITE 200",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819024",
            "telephone_number": "678-289-0382",
            "fax_number": "678-289-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAGAN L FALER DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-22",
        "last_updated": "2016-07-22",
        "status": "A",
        "authorized_official_last_name": "FALER",
        "authorized_official_first_name": "RAGAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "678-289-0382",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.