NPIMap

Organization Active NPI

Imagix Family Dentistry of Vinings LLC

  • Dentist
  • Atlanta, GA
National Provider Identifier
1851765663
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
IMAGIX FAMILY DENTISTRY OF VININGS LLC
Practice address
2460 Cumberland Pkwy SE
210
Atlanta, GA 30339-4519
Phone
(770) 433-2414
NPI assigned
Nov 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Authorized official

Name
Crystal Chouinard
Title
Credentialing Specialist
Phone
(941) 955-3150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X GA Primary

Addresses

Primary practice location

2460 Cumberland Pkwy SE
210
Atlanta, GA 30339-4519

Mailing address

2460 Cumberland Pkwy SE
210
Atlanta, GA 30339-4519
Phone (770) 433-2414

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1851765663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 CUMBERLAND PKWY SE",
            "address_2": "210",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303394519",
            "telephone_number": "770-433-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 CUMBERLAND PKWY SE",
            "address_2": "210",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303394519",
            "telephone_number": "770-433-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGIX FAMILY DENTISTRY OF VININGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "CHOUINARD",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "941-955-3150"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.