Cassandra Griffith Brackett, D.D.S

Primary specialty

Oral and Maxillofacial Radiology DentistryTaxonomy code 1223X0008X

License

010117 Issued in GA

Practice address

3300 Memorial Dr
Suite D-3
Decatur, GA 30032-2700

Phone

(404) 289-3060

Fax

(404) 288-6080

NPI assigned

Feb 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• Cassandra G. Brackett, D.D.S.,P.C.

  • Dental Clinic/Center
  • Decatur, GA
  • NPI 1942535091
  NPD (past) Authorized official
• Cassandra G. Brackett, D.D.S.,P.C.

  • Public Health Dentistry
  • Decatur, GA
  • NPI 1194648352
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1033244124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 MEMORIAL DR",
            "address_2": "SUITE D-3",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300322700",
            "telephone_number": "404-289-3060",
            "fax_number": "404-288-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 MEMORIAL DR",
            "address_2": "SUITE D-3",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300322700",
            "telephone_number": "404-289-3060",
            "fax_number": "404-288-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKETT",
        "first_name": "CASSANDRA",
        "middle_name": "GRIFFITH",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "0010117",
            "primary": false
        },
        {
            "code": "1223X0008X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": "GA",
            "license": "010117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000310318C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Lewis Bozard Jr.
• Keshia Nicole Bozeman, LCSW
• Braaten Neuroscience LLC (Alyssa Braaten)
• Alyssa Braaten, PH.D.
• Anna Brachey, ED.S., NCC
• Laquitta Sherea Brackins
• Wakita Cassandra Bradford, R.N. M.S.N
• Aaron Bradley
• Breanna Bradley, LPC
• Brittney Lauren Bradley, NP

• Dentist in Decatur, GA
• Providers in Decatur, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.