Organization Active NPI

Halcyon Pediatric Dentistry

  • Pediatric Dentistry
  • Alpharetta, GA
National Provider Identifier
1902794027
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
HALCYON PEDIATRIC DENTISTRY
Practice address
4080 McGinnis Ferry Rd Ste 201
Alpharetta, GA 30005-1736
Phone
(678) 648-7000
Fax
(770) 971-3046
NPI assigned
Jun 26, 2025
Last updated
Jun 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Authorized official

Name
Ohkyoung Chang, DDSNPI 1679635304
Title
Owner
Phone
(678) 648-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

4080 McGinnis Ferry Rd Ste 201
Alpharetta, GA 30005-1736

Mailing address

4080 McGinnis Ferry Rd Ste 201
Alpharetta, GA 30005-1736
Phone (678) 648-7000

National Provider Directory

National Provider Directory

Locations

4080 McGinnis Ferry Rd
Ste 201
Alpharetta, GA 30005
Phone (678) 366-1140

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1902794027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 MCGINNIS FERRY RD STE 201",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300051736",
            "telephone_number": "678-648-7000",
            "fax_number": "770-971-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 MCGINNIS FERRY RD STE 201",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300051736",
            "telephone_number": "678-648-7000",
            "fax_number": "770-971-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALCYON PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "OHKYOUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-648-7000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "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 Jun 26, 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.