Individual provider Active NPI

Joshua Freitag, D.M.D.

  • General Practice Dentistry
  • Milton, GA
National Provider Identifier
1053797332
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN015038 Issued in GA
Practice address
3100 Heritage Walk
BLDG 3, Ste 202
Milton, GA 30004-4407
Phone
(864) 979-1357
NPI assigned
Aug 10, 2015
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN015038 GA Primary

Addresses

Primary practice location

3100 Heritage Walk
BLDG 3, Ste 202
Milton, GA 30004-4407

Mailing address

3100 Heritage Walk
BLDG 3, Ste 202
Milton, GA 30004-4407
Phone (864) 979-1357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1053797332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 HERITAGE WALK",
            "address_2": "BLDG 3, STE 202",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300044407",
            "telephone_number": "864-979-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 HERITAGE WALK",
            "address_2": "BLDG 3, STE 202",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300044407",
            "telephone_number": "864-979-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREITAG",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-10",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, GA

Sources for this page

Verify at the official NPI Registry.