CHEROKEE FAMILY DENTAL, LLC
NPI 1194155986
Dentist - General Practice in Canton, GA

NPI Status: Active since November 15, 2013

Contact Information

2920 MARIETTA HWY
SUITE 146
CANTON, GA
ZIP 30114
Phone: (770) 704-6987

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  • Organization
  • Dentist
  • General Practice
  • CLIA Number: 11D0865909
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-31-2026

About CHEROKEE FAMILY DENTAL, LLC

This page provides the complete NPI Profile along with additional information for Cherokee Family Dental, Llc, a provider established in Canton, Georgia operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1194155986 assigned on November 2013. The practitioner's primary taxonomy code is 1223G0001X with license number DN013366 (GA). The provider is registered as an organization and their NPI record was last updated 13 years ago. Cherokee Family Dental, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Nicholas Johnson Dmd (Owner)

NPI
1194155986
Provider Name
CHEROKEE FAMILY DENTAL, LLC
Entity Type
Organization
Location Address
2920 MARIETTA HWY SUITE 146 CANTON, GA 30114
Location Phone
(770) 704-6987
Mailing Address
2920 MARIETTA HIGHWAY SUITE 146 CANTON, GA 30114
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-15-2013
Last Update Date
11-15-2013
Code Navigator

A dentist like Cherokee Family Dental, Llc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
DN013366
License State
GA
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11223E0200XDental Providers

Dentist
Endodontics

DN014617 (GA)
21223G0001XDental Providers

Dentist
General Practice

DN014219 (GA)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. NICHOLAS JOHNSON DMD

Authorized Official Title
OWNER
Authorized Official Phone
(770) 704-6987

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D0865909
Facility Type
Physician Office
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
KENNETH S. JAGO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cherokee Family Dental, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1194155986, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 1 → 2 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 8 + 4 + 2 + 5 + 1 + 0 + 9 + 1 + 6 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1194155986.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Pediatrics
2920 MARIETTA HWY, SUITE 142
CANTON, GA 30114
Social Worker (Clinical)
2920 MARIETTA HWY, SUITE 132
CANTON, GA 30114
Chiropractor
2920 MARIETTA HWY, SUITE 102
CANTON, GA 30114
Dentist (General Practice)
2920 MARIETTA HWY, SUITE 146
CANTON, GA 30114
Counselor (Professional)
2920 MARIETTA HWY, SUITE 8
CANTON, GA 30114
Counselor (Professional)
2920 MARIETTA HWY, SUITE 132
CANTON, GA 30114
Chiropractor
2920 MARIETTA HWY, SUITE 102
CANTON, GA 30114
Nurse Practitioner (Family)
2920 MARIETTA HWY, #142
CANTON, GA 30114
Nurse Practitioner
2920 MARIETTA HWY, STE 142
CANTON, GA 30114
Social Worker (Clinical)
2920 MARIETTA HWY, SUITE 104
CANTON, GA 30114
Social Worker (Clinical)
2920 MARIETTA HWY, SUITE 122
CANTON, GA 30114
Clinic/Center (Primary Care)
2920 MARIETTA HWY, SUITE 142
CANTON, GA 30114
Social Worker (Clinical)
2920 MARIETTA HWY
CANTON, GA 30114

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194155986, enumerated as an "organization" on November 15, 2013.

The provider is located at 2920 MARIETTA HWY SUITE 146 CANTON, GA 30114 and the phone number is (770) 704-6987.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.