NPIMap

Organization Active NPI

Newnan Periodontics LLC

  • Periodontics
  • Newnan, GA
National Provider Identifier
1972012961
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
NEWNAN PERIODONTICS LLC
Practice address
1635 Highway 34 E Ste a
Newnan, GA 30265-2173
Phone
(770) 252-0029
Fax
(770) 252-0091
NPI assigned
Sep 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Ragan L Faler, DMD
Title
Owner
Phone
(770) 252-0029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

1635 Highway 34 E Ste a
Newnan, GA 30265-2173

Mailing address

1635 Highway 34 E Ste a
Newnan, GA 30265-2173
Phone (770) 252-0029

National Provider Directory

National Provider Directory

Locations

1635 Highway 34 E
Ste A
Newnan, GA 30265
Phone (770) 252-0029

NPI Registry JSON

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

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1972012961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 HIGHWAY 34 E STE A",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652173",
            "telephone_number": "770-252-0029",
            "fax_number": "770-252-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 HIGHWAY 34 E STE A",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652173",
            "telephone_number": "770-252-0029",
            "fax_number": "770-252-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWNAN PERIODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FALER",
        "authorized_official_first_name": "RAGAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-252-0029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.