NPIMap

Organization Active NPI

Cartersville Family Dentistry, PC

  • Durable Medical Equipment & Medical Supplies
  • Cartersville, GA
National Provider Identifier
1932593282
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
DN011289 Issued in GA
Legal business name
CARTERSVILLE FAMILY DENTISTRY, PC
Practice address
179 Pine Grove Rd
Ste a
Cartersville, GA 30120-8489
Phone
(770) 387-0750
Fax
(770) 387-0797
NPI assigned
Mar 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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

Authorized official

Name
Elizabeth R SlocumNPI 1841695392
Title
Owner/Dentist
Phone
(770) 387-0750

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
Durable Medical Equipment & Medical Supplies 332B00000X DN011289 GA Primary

Addresses

Primary practice location

179 Pine Grove Rd
Ste a
Cartersville, GA 30120-8489

Mailing address

179 Pine Grove Rd
Ste a
Cartersville, GA 30120-8489
Phone (770) 387-0750

National Provider Directory

National Provider Directory

Locations

179 Pine Grove Rd
Ste A
Cartersville, GA 30120
Phone (770) 387-0750

Practitioners & affiliated clinicians

Practitioners 3

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": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1932593282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 PINE GROVE RD",
            "address_2": "STE A",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301208489",
            "telephone_number": "770-387-0750",
            "fax_number": "770-387-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 PINE GROVE RD",
            "address_2": "STE A",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301208489",
            "telephone_number": "770-387-0750",
            "fax_number": "770-387-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTERSVILLE FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "SLOCUM",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "770-387-0750"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "DN011289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.