Organization Active NPI

Candler Dental Associates PC

  • General Practice Dentistry
  • Decatur, GA
National Provider Identifier
1942374624
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8962 Issued in GA
Legal business name
CANDLER DENTAL ASSOCIATES PC
Practice address
2427 Candler Rd
Decatur, GA 30032
Phone
(404) 284-3015
Fax
(404) 284-3309
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Authorized official

Name
Dr. Leon G Pye, DMDNPI 1841462439
Title
President Owner
Phone
(404) 284-3015

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 DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 8962 GA Primary

Addresses

Primary practice location

2427 Candler Rd
Decatur, GA 30032

Mailing address

2427 Candler Rd
Decatur, GA 30032
Phone (404) 284-3015

Other identifiers 1

IdentifierTypeStateIssuer
00172233CMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Atlanta Emergency Dental PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2427 Candler Rd
Decatur, GA 30032
Phone (404) 284-3015

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": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1942374624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2427 CANDLER RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30032",
            "telephone_number": "404-284-3015",
            "fax_number": "404-284-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2427 CANDLER RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30032",
            "telephone_number": "404-284-3015",
            "fax_number": "404-284-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDLER DENTAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "PYE",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "404-284-3015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "8962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00172233C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.