Kiran M. Kamdar Dba Neighborhood Pediatric and Adult Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN10597 Issued in GA

Legal business name

KIRAN M. KAMDAR DBA NEIGHBORHOOD PEDIATRIC AND ADULT DENTISTRY

Practice address

5460 Lilburn Stone Mountain Rd
Stone Mountain, GA 30087-2843

Phone

(770) 923-2232

Fax

(770) 923-2268

NPI assigned

Mar 21, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Arline Maxwell

Title

Office Manager

Phone

(770) 923-2232

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vy DO, DMD

  • Dentist
  • Stone Mountain, GA
  • NPI 1497160527
  NPD (past)
• Kiran Kamdar, BDS, MSD, PC

  • Pediatric Dentistry
  • Stone Mountain, GA
  • NPI 1346469699
  NPD (past)

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1881865434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5460 LILBURN STONE MOUNTAIN RD",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300872843",
            "telephone_number": "770-923-2232",
            "fax_number": "770-923-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 LILBURN STONE MOUNTAIN RD",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300872843",
            "telephone_number": "770-923-2232",
            "fax_number": "770-923-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRAN M. KAMDAR DBA NEIGHBORHOOD PEDIATRIC AND ADULT DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "ARLINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-923-2232",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN10597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000412079A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tuan Minh Khong, SA-C
• Alero A Kidd, RN,BSN,LLB
• Mi Lee Kim, DDS
• Ruth D Kinfe
• Winton King, MD
• Robert A Kirkland Jr., DDS
• Justin Stewart Kitchens, NP-C
• Cody J Klein, PT, DPT, M.ED
• Corey Edward Klein, PT, DPT
• Julie Noelle Knisely, FNP-BC

• Pediatric Dentistry in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.