Active NPI
Alina D Simonca
- Dental Hygienist
- Duluth, GA
National Provider Identifier
1043819758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH011031
- Practice address
- 3780 Old Norcross Rd Ste 303
Duluth, GA 30096-1742 - Phone
- (470) 228-4477
- NPI assigned
- Oct 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH011031 | GA | Primary |
Addresses
Primary practice location
3780 Old Norcross Rd Ste 303
Duluth, GA 30096-1742
Mailing address
2065 Wildcat Cliffs Way
Lawrenceville, GA 30043-2972
Phone (678) 787-6504
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
| License | State | Type | Specialty |
|---|---|---|---|
| DH011031 | GA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603324800000",
"number": "1043819758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2065 WILDCAT CLIFFS WAY",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300432972",
"telephone_number": "678-787-6504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3780 OLD NORCROSS RD STE 303",
"city": "DULUTH",
"state": "GA",
"postal_code": "300961742",
"telephone_number": "470-228-4477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONCA",
"first_name": "ALINA",
"middle_name": "D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-22",
"last_updated": "2020-10-22",
"certification_date": "2020-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "GA",
"license": "DH011031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.