NPIMap

Organization Active NPI

Jose-Herick T Napenas

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1992959787
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN012901 Issued in GA
Legal business name
JOSE-HERICK T NAPENAS
Practice address
3030 Headland Dr SW
Ste 300
Atlanta, GA 30311-5439
Phone
(404) 344-8778
NPI assigned
Nov 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Authorized official

Name
Dr. Jose Napenas, DDS
Title
Owner
Phone
(404) 344-8778

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DN012901 GA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DN013039 GA

Addresses

Primary practice location

3030 Headland Dr SW
Ste 300
Atlanta, GA 30311-5439

Mailing address

3030 Headland Dr SW
Ste 300
Atlanta, GA 30311-5439
Phone (404) 344-8778

Other identifiers 3

IdentifierTypeStateIssuer
101441495BMedicaidGA
101441495CMedicaidGA
101441495DMedicaidGA

Other names 1

  • West Georgia Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3030 Headland Dr SW
Ste 300
Atlanta, GA 30311
Phone (404) 344-8778

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": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1992959787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 HEADLAND DR SW",
            "address_2": "STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303115439",
            "telephone_number": "404-344-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 HEADLAND DR SW",
            "address_2": "STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303115439",
            "telephone_number": "404-344-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE-HERICK T NAPENAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "NAPENAS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-344-8778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012901",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013039",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101441495B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101441495C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101441495D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Georgia Dental",
            "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 Nov 6, 2008; 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.