NPIMap

Organization Active NPI

NS3 Services, LLC

  • Pediatric Dentistry
  • Atlanta, GA
National Provider Identifier
1952969396
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
NS3 SERVICES, LLC
Practice address
1039 Grant St SE Ste B11
Atlanta, GA 30315-2050
Phone
(470) 747-7888
Fax
(470) 747-7999
NPI assigned
May 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Authorized official

Name
Nikky Shotwell, DDS
Title
Ceo
Phone
(470) 747-7888

Specialties & licenses 1

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

Addresses

Primary practice location

1039 Grant St SE Ste B11
Atlanta, GA 30315-2050

Mailing address

1039 Grant St SE Ste B11
Atlanta, GA 30315-2050
Phone (470) 747-7888

Other identifiers 1

IdentifierTypeStateIssuer
003161290AMedicaidGA

Other names 1

  • Kids Dental Studio Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@atlantapediatric.dental Direct

National Provider Directory

National Provider Directory

Locations

1039 Grant St SE
Ste B11
Atlanta, GA 30315
Phone (470) 747-7888

NPI Registry JSON

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559260800000",
    "number": "1952969396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 GRANT ST SE STE B11",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303152050",
            "telephone_number": "470-747-7888",
            "fax_number": "470-747-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 GRANT ST SE STE B11",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303152050",
            "telephone_number": "470-747-7888",
            "fax_number": "470-747-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NS3 SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A",
        "authorized_official_last_name": "SHOTWELL",
        "authorized_official_first_name": "NIKKY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-747-7888",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003161290A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@atlantapediatric.dental",
            "affiliation": "N",
            "endpointDescription": "direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1039 Grant St SE Ste B11",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303152050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kids Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; 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.