Organization Active NPI

Alpharetta Family Dental Assoc., Inc.

  • General Practice Dentistry
  • Roswell, GA
National Provider Identifier
1932554870
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ALPHARETTA FAMILY DENTAL ASSOC., INC.
Practice address
11685 Alpharetta Hwy
Suite No: 220
Roswell, GA 30076-3806
Phone
(770) 475-4040
Fax
(770) 475-7050
NPI assigned
Apr 28, 2016
Last updated
Apr 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Authorized official

Name
Dr. Eric Eugene Rader, DMDNPI 1427198910
Title
DMD/Dentist
Phone
(770) 475-4040

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
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

11685 Alpharetta Hwy
Suite No: 220
Roswell, GA 30076-3806

Mailing address

11685 Alpharetta Hwy
Suite No: 220
Roswell, GA 30076-3806
Phone (770) 475-4040

National Provider Directory

National Provider Directory

Locations

11685 Alpharetta Hwy
Ste 220
Roswell, GA 30076
Phone (770) 475-4040

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": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1932554870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11685 ALPHARETTA HWY",
            "address_2": "SUITE NO: 220",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763806",
            "telephone_number": "770-475-4040",
            "fax_number": "770-475-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11685 ALPHARETTA HWY",
            "address_2": "SUITE NO: 220",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763806",
            "telephone_number": "770-475-4040",
            "fax_number": "770-475-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHARETTA FAMILY DENTAL ASSOC., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "RADER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "DMD/DENTIST",
        "authorized_official_telephone_number": "770-475-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.