Active NPI
Ketan G Ginoya, DMD
- General Practice Dentistry
- Peachtree Cty, GA
National Provider Identifier
1033497409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN014859
- Practice address
- 5000 Shakerag HL
Peachtree Cty, GA 30269-3367 - Phone
- (770) 631-0044
- NPI assigned
- Aug 2, 2011
- Last updated
- Feb 26, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN014859 | GA | Primary |
| General Practice Dentistry | 1223G0001X | 16179 | MD | |
| General Practice Dentistry | 1223G0001X | DN1855814 | MA |
Addresses
Primary practice location
5000 Shakerag HL
Peachtree Cty, GA 30269-3367
Mailing address
5000 Shakerag HL
Peachtree City, GA 30269-3367
Phone (770) 631-0044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160104000962 | MD | Order and Referring Only - Oral Surgery | 8729380019 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN014859 | GA | MD | General Practice Dentistry |
| DN1855814 | MA | MD | General Practice Dentistry |
| 16179 | MD | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karma Dental LLC | General Practice | Current | Accepting new patients |
| Mahima Dental LLC | Current | Accepting new patients | |
| Aesthetic Restorative Dentistry, P. C. | Past | Accepting new patients | |
| Akj Dental DDS LLC | Past | Accepting new patients | |
| Fenwick Dental Associates | Past | Accepting new patients |
Locations
4511 Chamblee Dunwoody Rd
Ste A2
Dunwoody, GA 30338
Phone (404) 806-9799
5000 Shakerag Hl
Peachtree Cty, GA 30269
Phone (770) 631-0044
Organizations & group practices 5
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.
-
- General Practice Dentistry
- Atlanta, GA
- NPI 1689401978
-
dba Aesthetic Restorative Dentistry
- Dental Clinic/Center
- Peachtree City, GA
- NPI 1740174671
-
- Prosthodontics
- Peachtree City, GA
- NPI 1437694791
-
- Dentist
- Ocean City, MD
- NPI 1598884801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772064000000",
"number": "1033497409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 SHAKERAG HL",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302693367",
"telephone_number": "770-631-0044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 SHAKERAG HL",
"city": "PEACHTREE CTY",
"state": "GA",
"postal_code": "302693367",
"telephone_number": "770-631-0044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GINOYA",
"first_name": "KETAN",
"middle_name": "G",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-02",
"last_updated": "2026-02-26",
"certification_date": "2026-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN014859",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "16179",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "DN1855814",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peachtree Cty, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.