Cartersvillesmiles, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DNO010942 Issued in GA

Legal business name

CARTERSVILLESMILES, LLC

Practice address

22 Felton PL Ste a
Cartersville, GA 30120-2152

Phone

(770) 387-4354

Fax

(770) 387-0143

NPI assigned

Jul 18, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Karen Patricia Wise, DDSNPI 1508029984

Title

Owner

Phone

(770) 387-4354

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Karen Patricia Wise, DDS

  • Dentist
  • Cartersville, GA
  • NPI 1508029984
  NPD Authorized official
• Craig R Blatt, DDS

  • Dentist
  • Cartersville, GA
  • NPI 1043585771
  NPD (past)

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498176000000",
    "number": "1992050686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 FELTON PL STE A",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202152",
            "telephone_number": "770-387-4354",
            "fax_number": "770-387-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 FELTON PL STE A",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202152",
            "telephone_number": "770-387-4354",
            "fax_number": "770-387-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTERSVILLESMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2017-06-23",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-387-4354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DNO010942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cartersville Physician Practice Network, Inc
• Cartersville School System
• Cartersville Surgical Associates, P.C.
• Cartersville Urgent Care LLC
• Cartersville Wellness Diagnostics
• Cartersvulle Vision
• Carterville Dental Group, P.C.
• Rachelrui Cashen, PA
• Matthew Lyle Cason
• Jessica Castleberry, MD

• General Practice Dentistry in Cartersville, GA
• Providers in Cartersville, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2017; 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.