Organization Active NPI

West Cobb Periodontics and Implant Dentistry LLC

  • Dental Clinic/Center
  • Marietta, GA
National Provider Identifier
1952935710
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WEST COBB PERIODONTICS AND IMPLANT DENTISTRY LLC
Practice address
44 Old Hamilton Rd NW Ste 200
Marietta, GA 30064-5901
Phone
(770) 802-2222
NPI assigned
Mar 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Authorized official

Name
Kara Kramer, DMD
Title
Owner
Phone
(404) 384-3080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

44 Old Hamilton Rd NW Ste 200
Marietta, GA 30064-5901

Mailing address

44 Old Hamilton Rd NW Ste 200
Marietta, GA 30064-5901
Phone (770) 802-2222

National Provider Directory

National Provider Directory

Locations

44 Old Hamilton Rd NW
#200
Marietta, GA 30064
Phone (770) 426-9994

NPI Registry JSON

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1952935710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 OLD HAMILTON RD NW STE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300645901",
            "telephone_number": "770-802-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 OLD HAMILTON RD NW STE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300645901",
            "telephone_number": "770-802-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COBB PERIODONTICS AND IMPLANT DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-384-3080",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.