NPIMap

Organization Active NPI

Kennesaw Pediatric Dentistry

  • Pediatric Dentistry
  • Kennesaw, GA
National Provider Identifier
1942743844
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN013057 Issued in GA
Legal business name
KENNESAW PEDIATRIC DENTISTRY
Practice address
600 Chastain Rd NW
Suite 426
Kennesaw, GA 30144-3004
Phone
(770) 651-1000
NPI assigned
Nov 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

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

Authorized official

Name
Dr. Vishant Nath
Title
Dentist
Phone
(770) 651-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X DN013057 GA Primary

Addresses

Primary practice location

600 Chastain Rd NW
Suite 426
Kennesaw, GA 30144-3004

Mailing address

600 Chastain Rd NW
Suite 426
Kennesaw, GA 30144-3004
Phone (770) 651-1000

National Provider Directory

National Provider Directory
Tax ID family
Norcross Pediatric Dentistry4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

600 Chastain Rd NW
Ste 426
Kennesaw, GA 30144
Phone (404) 902-5327

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479859200000",
    "number": "1942743844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CHASTAIN RD NW",
            "address_2": "SUITE 426",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301443004",
            "telephone_number": "770-651-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CHASTAIN RD NW",
            "address_2": "SUITE 426",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301443004",
            "telephone_number": "770-651-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNESAW PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-23",
        "last_updated": "2016-11-23",
        "status": "A",
        "authorized_official_last_name": "NATH",
        "authorized_official_first_name": "VISHANT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "770-651-1000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN013057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

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

Verify at the official NPI Registry.