Ali Harandifassih, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN011520 Issued in GA

Practice address

785 Virginia Avenue
Suite a
Hapeville, GA 30354

Phone

(404) 768-8700

Fax

(404) 768-8588

NPI assigned

Jan 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Harandi, Harandi, Spelios and Associates Hapeville LLC

  • Point of Service
  • Hapeville, GA
  • NPI 1851442867
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013068782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 VIRGINIA AVENUE",
            "address_2": "SUITE A",
            "city": "HAPEVILLE",
            "state": "GA",
            "postal_code": "30354",
            "telephone_number": "404-768-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 VIRGINIA AVENUE",
            "address_2": "SUITE A",
            "city": "HAPEVILLE",
            "state": "GA",
            "postal_code": "30354",
            "telephone_number": "404-768-8700",
            "fax_number": "404-768-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARANDIFASSIH",
        "first_name": "ALI",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN011520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevis Gullatt, RN
• Hapeville Dialysis Center LLC
• Hapeville Health Center
• Hapeville Manor Assisted Living Facility, Inc
• Harandi, Harandi, Spelios and Associates Hapeville LLC
• Catherine M Hardie, THERAPY DIR. II
• Shonteh L Henderson, P.T.
• Christopher Hoang
• Sharon Howard
• Sarah Howie, LCSW

• General Practice Dentistry in Hapeville, GA
• Providers in Hapeville, 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 Jul 8, 2007; 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.