Active NPI
Amir Ghoreishi
- General Practice Dentistry
- Cumming, GA
National Provider Identifier
1053057554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN122713
- Practice address
- 907 Buford Rd Ste 100
Cumming, GA 30041-2711 - Phone
- (678) 922-8282
- NPI assigned
- May 8, 2022
- Last updated
- Oct 28, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN122713 | GA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
907 Buford Rd Ste 100
Cumming, GA 30041-2711
Mailing address
6000 Summit PL # 6433
Alpharetta, GA 30009-2565
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 |
|---|---|---|---|
| DN122713 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bright Smiles Dental Center, P.C. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Bright Smiles
- General Practice Dentistry
- Cumming, GA
- NPI 1952709073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666915200000",
"number": "1053057554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 SUMMIT PL # 6433",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300092565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 BUFORD RD STE 100",
"city": "CUMMING",
"state": "GA",
"postal_code": "300412711",
"telephone_number": "678-922-8282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHOREISHI",
"first_name": "AMIR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-08",
"last_updated": "2022-10-28",
"certification_date": "2022-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN122713",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.