NPIMap

Organization Active NPI

Paul D Nagode DDS PC

  • Dentist
  • Atlanta, GA
National Provider Identifier
1912085366
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8067 Issued in GA
Legal business name
PAUL D NAGODE DDS PC
Practice address
6075 Lake Forrest Drive
Suite 100
Atlanta, GA 30328-3845
Phone
(404) 303-1199
Fax
(404) 303-1667
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Paul D Nagode, DDSNPI 1235224304
Title
Owner
Phone
(404) 303-1199

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 8067 GA Primary

Addresses

Primary practice location

6075 Lake Forrest Drive
Suite 100
Atlanta, GA 30328-3845

Mailing address

6075 Lake Forrest Drive
Suite 100
Atlanta, GA 30328-3845
Phone (404) 303-1199

National Provider Directory

National Provider Directory

Locations

6075 Lake Forrest Dr
Ste 100
Sandy Springs, GA 30328
Phone (404) 303-1199

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": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912085366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6075 LAKE FORREST DRIVE",
            "address_2": "SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283845",
            "telephone_number": "404-303-1199",
            "fax_number": "404-303-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6075 LAKE FORREST DRIVE",
            "address_2": "SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283845",
            "telephone_number": "404-303-1199",
            "fax_number": "404-303-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL D NAGODE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAGODE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-303-1199",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "8067",
            "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 22, 2020; 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.