Organization Active NPI

Pediatric Dentistry of Columbus

  • Pediatric Dentistry
  • Columbus, GA
National Provider Identifier
1871857631
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D013893 Issued in GA
Legal business name
PEDIATRIC DENTISTRY OF COLUMBUS
Practice address
6801 River Rd
Building 4, Suite 401
Columbus, GA 31904-3352
Phone
(706) 221-2305
Fax
(706) 221-2275
NPI assigned
Jun 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Authorized official

Name
Dr. Christie B McCarley, D.M.D.
Title
Pediatric Dentist/Owner
Phone
(706) 221-2305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X D013893 GA Primary

Addresses

Primary practice location

6801 River Rd
Building 4, Suite 401
Columbus, GA 31904-3352

Mailing address

6801 River Rd
Building 4, Suite 401
Columbus, GA 31904-3352
Phone (706) 221-2305

National Provider Directory

National Provider Directory

Locations

6801 River Rd
Ste 401
Columbus, GA 31904
Phone (706) 221-2305

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1871857631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 RIVER RD",
            "address_2": "BUILDING 4, SUITE 401",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043352",
            "telephone_number": "706-221-2305",
            "fax_number": "706-221-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 RIVER RD",
            "address_2": "BUILDING 4, SUITE 401",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043352",
            "telephone_number": "706-221-2305",
            "fax_number": "706-221-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTISTRY OF COLUMBUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "MCCARLEY",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST/OWNER",
        "authorized_official_telephone_number": "706-221-2305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "D013893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.