NPIMap

Organization Active NPI

Family and Children'S Dentistry & Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Atlanta, GA
National Provider Identifier
1922764653
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
FAMILY AND CHILDREN'S DENTISTRY & ORTHODONTICS
Practice address
2440 Fairburn Rd SW Ste 301
Atlanta, GA 30331-5255
Phone
(404) 349-7777
Fax
(404) 349-8459
NPI assigned
Nov 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Authorized official

Name
Dr. Kimberly Edwards BealNPI 1154479418
Title
Owner
Phone
(404) 349-7777

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

2440 Fairburn Rd SW Ste 301
Atlanta, GA 30331-5255

Mailing address

2440 Fairburn Rd SW Ste 301
Atlanta, GA 30331-5255
Phone (404) 349-7777

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1922764653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 FAIRBURN RD SW STE 301",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315255",
            "telephone_number": "404-349-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 FAIRBURN RD SW STE 301",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315255",
            "telephone_number": "404-349-7777",
            "fax_number": "404-349-8459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY AND CHILDREN'S DENTISTRY & ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "BEAL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "EDWARDS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-349-7777",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "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 Nov 17, 2021; 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.