NPIMap

Organization Active NPI

Carterr-Rockbridge General Dentistry,PC

  • Dentist
  • Norcross, GA
National Provider Identifier
1982002309
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN011230 Issued in GA
Legal business name
CARTERR-ROCKBRIDGE GENERAL DENTISTRY,PC
Practice address
5050 Jimmy Carter Blvd Ste 320
Norcross, GA 30093-2759
Phone
(770) 662-5955
Fax
(770) 662-5628
NPI assigned
Dec 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Authorized official

Name
Dr. Gloria Stingley, DMD
Title
Owner
Phone
(770) 662-5955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN011230 GA Primary

Addresses

Primary practice location

5050 Jimmy Carter Blvd Ste 320
Norcross, GA 30093-2759

Mailing address

5050 Jimmy Carter Blvd Ste 320
Norcross, GA 30093-2759
Phone (770) 662-5955

Other identifiers 1

IdentifierTypeStateIssuer
1215094719MedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Carter Rockbridge General Dentistry PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5050 Jimmy Carter Blvd
Ste 320
Norcross, GA 30093
Phone (770) 662-5955

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418774400000",
    "number": "1982002309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 JIMMY CARTER BLVD STE 320",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932759",
            "telephone_number": "770-662-5955",
            "fax_number": "770-662-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 JIMMY CARTER BLVD STE 320",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932759",
            "telephone_number": "770-662-5955",
            "fax_number": "770-662-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTERR-ROCKBRIDGE GENERAL DENTISTRY,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-17",
        "last_updated": "2014-12-17",
        "status": "A",
        "authorized_official_last_name": "STINGLEY",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-662-5955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN011230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215094719",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.