Organization Active NPI

Thomasville Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Thomasville, GA
National Provider Identifier
1891156576
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
GA11010 Issued in GA
Legal business name
THOMASVILLE ORTHODONTICS
Practice address
322 E Jackson St
Thomasville, GA 31792-5168
Phone
(229) 226-6875
NPI assigned
Mar 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Authorized official

Name
Dallas Margeson
Title
Owner
Phone
(229) 226-6875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X GA11010 GA Primary

Addresses

Primary practice location

322 E Jackson St
Thomasville, GA 31792-5168

Mailing address

322 E Jackson St
Thomasville, GA 31792-5168
Phone (229) 226-6875

National Provider Directory

National Provider Directory

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": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1891156576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 E JACKSON ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925168",
            "telephone_number": "229-226-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 E JACKSON ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925168",
            "telephone_number": "229-226-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMASVILLE ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "MARGESON",
        "authorized_official_first_name": "DALLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-226-6875"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "GA11010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.