OrganizationActive
Imagix Legacy Pediatrics LLC
NPI 1295109015 · Dentist · Kennesaw, GA
Imagix Legacy Pediatrics LLC is a Dentist organization in Kennesaw, GA (NPI 1295109015).
Provider details
- NPI number
- 1295109015
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Crystal Chouinard, Credentialing Specialist(941) 955-3150
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3903 Jiles Rd Nw
210
Kennesaw, GA 30144-4612
Phone: (770) 590-9050
Street-level locationGet directions
Mailing address
3903 Jiles Rd Nw
Kennesaw, GA 30144-4612
Registry dates
- Enumerated
- 2015-11-17
- Last updated
- 2015-11-17
Frequently asked questions
- What is Imagix Legacy Pediatrics LLC's NPI number?
- Imagix Legacy Pediatrics LLC's National Provider Identifier (NPI) is 1295109015, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Imagix Legacy Pediatrics LLC?
- Imagix Legacy Pediatrics LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Imagix Legacy Pediatrics LLC located?
- Imagix Legacy Pediatrics LLC's practice location on file with NPPES is 3903 Jiles Rd Nw, Kennesaw, GA 30144-4612.
- What is Imagix Legacy Pediatrics LLC's phone number?
- The practice phone number listed in the NPPES registry for Imagix Legacy Pediatrics LLC is (770) 590-9050.
- Who is the authorized official for Imagix Legacy Pediatrics LLC?
- The authorized official listed on Imagix Legacy Pediatrics LLC's NPPES record is Crystal Chouinard, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Imagix Legacy Pediatrics LLC's NPI active?
- Yes — Imagix Legacy Pediatrics LLC's NPI (1295109015) is active in the NPPES registry as of the last update on 2015-11-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.