Individual provider Active NPI

Korry Tauber, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Alpharetta, GA
National Provider Identifier
1861094062
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN015704 Issued in GA
Practice address
12455 Broadwell Rd Ste 100
Alpharetta, GA 30004-6377
Phone
(770) 526-0190
NPI assigned
Nov 12, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN015704 GA Primary

Addresses

Primary practice location

12455 Broadwell Rd Ste 100
Alpharetta, GA 30004-6377

Mailing address

12455 Broadwell Rd Ste 100
Alpharetta, GA 30004-6315
Phone (770) 526-0190

Other practice location 1

6488 Hickory Flat Hwy Ste 100
Canton, GA 30115-7235
Phone (770) 720-8138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DN015704GAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Stable Orthodontics of Hickory Flat, LLC Orthodontics and Dentofacial Orthopedics CurrentSince Aug 17, 2025 Accepting new patients
Stable Orthodontics, LLC Orthodontics and Dentofacial Orthopedics CurrentSince Jan 7, 2024 Accepting new patients

Locations

6488 Hickory Flat Hwy
Ste 100
Canton, GA 30115
Phone (770) 720-8138

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.

NPI Registry JSON

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1861094062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12455 BROADWELL RD STE 100",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300046315",
            "telephone_number": "770-526-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12455 BROADWELL RD STE 100",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300046377",
            "telephone_number": "770-526-0190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6488 Hickory Flat Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "GA",
            "postal_code": "301157235",
            "country_code": "US",
            "telephone_number": "770-720-8138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAUBER",
        "first_name": "KORRY",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-12",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "DN015704",
            "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 Aug 14, 2025; 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.