Cumming Pediatric Dentistry & Orthodontics, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

011424 Issued in GA

Legal business name

CUMMING PEDIATRIC DENTISTRY & ORTHODONTICS, LLC

Practice address

3275 Market Place Blvd Ste 150
Cumming, GA 30041-7980

Phone

(770) 781-8650

NPI assigned

Jan 4, 2018

Organization subpart

No

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

Authorized official

Name

Linda Monell

Title

Business Manager

Phone

(770) 781-8650

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Behnaz Yavari, ORTHODONTIST, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Atlanta, GA
  • NPI 1699285338
  NPD (past)

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515024000000",
    "number": "1972010502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3275 MARKET PLACE BLVD STE 150",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3275 MARKET PLACE BLVD STE 150",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417980",
            "telephone_number": "770-781-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMMING PEDIATRIC DENTISTRY & ORTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-01-04",
        "status": "A",
        "authorized_official_last_name": "MONELL",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "770-781-8650"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "015146",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "011424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cumming Family Practice
• Cumming Hearing Aid
• Cumming Medical Ventures
• Cumming Operating Company LLC
• Cumming Optical LLC
• Cumming Pediatric Group, PC
• Cumming Physical Medicine
• Cumming Rheumatology and Arthritis LLC
• Cumming Rheumatology and Arthritis LLC
• Cumming Smiles Dentistry, PC

• Orthodontics and Dentofacial Orthopedics Dentistry in Cumming, GA
• Providers in Cumming, GA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; 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.