Organization Active NPI

Complete Dental Arts, P.C.

  • Dentist
  • Newnan, GA
National Provider Identifier
1831619642
Registry record updated Jun 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN013135 Issued in GA
Legal business name
COMPLETE DENTAL ARTS, P.C.
Practice address
2819 Highway 34 E
Newnan, GA 30265-1331
Phone
(770) 254-8787
NPI assigned
Jun 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2017

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

Authorized official

Name
Dr. Charley Cheney III, DMD
Title
Owner
Phone
(770) 254-8787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN013135 GA Primary

Addresses

Primary practice location

2819 Highway 34 E
Newnan, GA 30265-1331

Mailing address

90 Glenda Trce Ste F
PMB 418
Newnan, GA 30265-3868

Other identifiers 1

IdentifierTypeStateIssuer
676933173MedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Complete Dental Arts PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2819 Highway 34 E
Newnan, GA 30265
Phone (770) 254-8787

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498089600000",
    "number": "1831619642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 GLENDA TRCE STE F",
            "address_2": "PMB 418",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302653868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 HIGHWAY 34 E",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302651331",
            "telephone_number": "770-254-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE DENTAL ARTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-22",
        "last_updated": "2017-06-22",
        "status": "A",
        "authorized_official_last_name": "CHENEY",
        "authorized_official_first_name": "CHARLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-254-8787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "676933173",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2017; 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.