NPIMap

Organization Active NPI

Imagix 2 Dental

  • Dentist
  • Norcross, GA
National Provider Identifier
1952407397
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
009491 Issued in GA
Legal business name
IMAGIX 2 DENTAL
Practice address
5075 Peachtree Pkwy
105B
Norcross, GA 30092-6508
Phone
(770) 448-9333
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Eugene Witkin, DDS
Title
Dentist/Owner
Phone
(770) 448-9333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 009491 GA Primary

Addresses

Primary practice location

5075 Peachtree Pkwy
105B
Norcross, GA 30092-6508

Mailing address

5075 Peachtree Pkwy
105B
Norcross, GA 30092-6508
Phone (770) 448-9333

National Provider Directory

National Provider Directory

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": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952407397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5075 PEACHTREE PKWY",
            "address_2": "105B",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300926508",
            "telephone_number": "770-448-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5075 PEACHTREE PKWY",
            "address_2": "105B",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300926508",
            "telephone_number": "770-448-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGIX 2 DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WITKIN",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "770-448-9333",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "009491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.