Active NPI
Sunil K Singh, DMD
- Dentist
- Atlanta, GA
National Provider Identifier
1053402313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN014527
- Practice address
- 1103 Gables Dr NE
Atlanta, GA 30319-4190 - Phone
- (317) 721-7662
- Fax
- (317) 721-7662
- NPI assigned
- Sep 28, 2006
- Last updated
- Jul 22, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN014527 | GA | Primary |
Addresses
Primary practice location
1103 Gables Dr NE
Atlanta, GA 30319-4190
Mailing address
175 White St NW Ste 300
Marietta, GA 30060-7901
Phone (770) 422-6521
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 |
|---|---|---|---|
| DN014527 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marietta Smiles LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Marietta, GA
- NPI 1093146078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1053402313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 WHITE ST NW STE 300",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300607901",
"telephone_number": "770-422-6521",
"fax_number": "317-721-7662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 GABLES DR NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303194190",
"telephone_number": "317-721-7662",
"fax_number": "317-721-7662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINGH",
"first_name": "SUNIL",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN014527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.