Individual provider Active NPI

Amit Morar, DDS

  • Dentist
  • Marietta, GA
National Provider Identifier
1003658212
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN123544 Issued in GA
Practice address
2551 Roswell Rd Ste 100
Marietta, GA 30062-4761
Phone
(770) 514-5055
NPI assigned
Jun 10, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN123544 GA Primary

Addresses

Primary practice location

2551 Roswell Rd Ste 100
Marietta, GA 30062-4761

Mailing address

4417 Belvedere Close SE
Marietta, GA 30067-1501
Phone (404) 680-1987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN123544GAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1003658212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4417 BELVEDERE CLOSE SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300671501",
            "telephone_number": "404-680-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 ROSWELL RD STE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624761",
            "telephone_number": "770-514-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAR",
        "first_name": "AMIT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-10",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN123544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.