Organization Active NPI

Cumberland Family Dental, LLC

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1861708802
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN012933 Issued in GA
Legal business name
CUMBERLAND FAMILY DENTAL, LLC
Practice address
100 Galleria Pkwy SE Ste 670
Atlanta, GA 30339-5947
Phone
(770) 272-1818
Fax
(770) 272-1817
NPI assigned
Aug 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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

Authorized official

Name
Dr. Kevin S Kuniyoshi, D.D.S.
Title
Owner
Phone
(770) 272-1818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN012933 GA Primary

Addresses

Primary practice location

100 Galleria Pkwy SE Ste 670
Atlanta, GA 30339-5947

Mailing address

100 Galleria Pkwy SE Ste 670
Atlanta, GA 30339-5947
Phone (770) 272-1818

National Provider Directory

National Provider Directory

Locations

100 Galleria Pkwy SE
Ste 670
Atlanta, GA 30339
Phone (770) 272-1818

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": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1861708802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GALLERIA PKWY SE STE 670",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395947",
            "telephone_number": "770-272-1818",
            "fax_number": "770-272-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GALLERIA PKWY SE STE 670",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395947",
            "telephone_number": "770-272-1818",
            "fax_number": "770-272-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "KUNIYOSHI",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-272-1818",
        "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": "DN012933",
            "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 Aug 27, 2010; 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.