Active NPI
Brian Jackson Choate, D.M.D.
- General Practice Dentistry
- Cartersville, GA
National Provider Identifier
1841344819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN011185
- Practice address
- 211 E Main St
Cartersville, GA 30120-3319 - Phone
- (770) 382-0921
- Fax
- (770) 607-1821
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN011185 | GA | Primary |
Addresses
Primary practice location
211 E Main St
Cartersville, GA 30120-3319
Mailing address
PO Box 400
Cartersville, GA 30120-0400
Phone (770) 382-0921
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160623000304 | GA | Order and Referring Only - Dentist | 5193016020 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choate Dental Assoc PC | Past | Accepting new patients | |
| Choate Dental Assoc PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Cartersville, GA
- NPI 1114071495
-
- Dentist
- Cartersville, GA
- NPI 1396850939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841344819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 400",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301200400",
"telephone_number": "770-382-0921",
"fax_number": "770-607-1821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 E MAIN ST",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301203319",
"telephone_number": "770-382-0921",
"fax_number": "770-607-1821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOATE",
"first_name": "BRIAN",
"middle_name": "JACKSON",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN011185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cartersville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.