Active NPI
Crabapple Ortho and Pedo
- Pediatric Dentistry
- Alpharetta, GA
National Provider Identifier
1922553676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- CRABAPPLE ORTHO AND PEDO
- Practice address
- 12385 Crabapple Rd Ste 100
Alpharetta, GA 30004-6357 - Phone
- (770) 901-2369
- NPI assigned
- Aug 23, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jennifer Snow
- Title
- Credentialing Coordinator
- Phone
- (404) 410-1340
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary | ||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X |
Addresses
Primary practice location
12385 Crabapple Rd Ste 100
Alpharetta, GA 30004-6357
Mailing address
12385 Crabapple Rd Ste 100
Alpharetta, GA 30004-6357
Phone (770) 901-2369
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471910400000",
"number": "1922553676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12385 CRABAPPLE RD STE 100",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300046357",
"telephone_number": "770-901-2369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12385 CRABAPPLE RD STE 100",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300046357",
"telephone_number": "770-901-2369"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRABAPPLE ORTHO AND PEDO",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-23",
"last_updated": "2016-08-23",
"status": "A",
"authorized_official_last_name": "SNOW",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "404-410-1340",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": false
}
],
"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 Aug 23, 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.