Organization Active NPI

Behrndt Dental Services PC

Doing business as Rutledge Family Dental

  • Dentist
  • Rutledge, GA
National Provider Identifier
1952797938
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN014716 Issued in GA
Legal business name
BEHRNDT DENTAL SERVICES PC
Doing business as
Rutledge Family Dental
Practice address
126 Fairplay St
Rutledge, GA 30663-2378
Phone
(706) 557-7374
NPI assigned
Apr 7, 2015
Last updated
Jun 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Authorized official

Name
Jennifer Felsberg
Title
Office Manager
Phone
(706) 557-7374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN014716 GA Primary

Addresses

Primary practice location

126 Fairplay St
Rutledge, GA 30663-2378

Mailing address

126 Fairplay St
Rutledge, GA 30663-2378
Phone (706) 557-7374

Other names 1

  • Rutledge Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

126 Fairplay St
Rutledge, GA 30663
Phone (706) 557-7374

NPI Registry JSON

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1952797938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 FAIRPLAY ST",
            "city": "RUTLEDGE",
            "state": "GA",
            "postal_code": "306632378",
            "telephone_number": "706-557-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 FAIRPLAY ST",
            "city": "RUTLEDGE",
            "state": "GA",
            "postal_code": "306632378",
            "telephone_number": "706-557-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHRNDT DENTAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "FELSBERG",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-557-7374"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN014716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rutledge Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rutledge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.