Organization Active NPI

Alpharetta Creek Restorative Dentistry LLC

  • General Practice Dentistry
  • Alpharetta, GA
National Provider Identifier
1851773899
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN014431 Issued in GA
Legal business name
ALPHARETTA CREEK RESTORATIVE DENTISTRY LLC
Practice address
11180 State Bridge Rd
Suite 405
Alpharetta, GA 30022-7482
Phone
(770) 777-2803
Fax
(770) 619-7066
NPI assigned
Jun 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2015

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

Authorized official

Name
Dr. Chu Kai Liang, D.D.S.
Title
Member
Phone
(770) 777-2803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN014431 GA Primary

Addresses

Primary practice location

11180 State Bridge Rd
Suite 405
Alpharetta, GA 30022-7482

Mailing address

11180 State Bridge Rd
Suite 405
Alpharetta, GA 30022-7482
Phone (770) 777-2803

National Provider Directory

National Provider Directory

Locations

11180 State Bridge Rd
Ste 405
Johns Creek, GA 30022
Phone (770) 777-2803

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": "1435276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1851773899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11180 STATE BRIDGE RD",
            "address_2": "SUITE 405",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300227482",
            "telephone_number": "770-777-2803",
            "fax_number": "770-619-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11180 STATE BRIDGE RD",
            "address_2": "SUITE 405",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300227482",
            "telephone_number": "770-777-2803",
            "fax_number": "770-619-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHARETTA CREEK RESTORATIVE DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "LIANG",
        "authorized_official_first_name": "CHU KAI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "770-777-2803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.