Organization Active NPI

Alpharetta Modern Dentistry

  • General Practice Dentistry
  • Alpharetta, GA
National Provider Identifier
1073402095
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ALPHARETTA MODERN DENTISTRY
Practice address
4080 McGinnis Ferry Rd Ste 1102
Alpharetta, GA 30005-1740
Phone
(470) 282-5157
NPI assigned
Jul 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Authorized official

Name
Dr. Ashish Kakadia, DDSNPI 1841455094
Title
Owner
Phone
(470) 282-5157

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4080 McGinnis Ferry Rd Ste 1102
Alpharetta, GA 30005-1740

Mailing address

4080 McGinnis Ferry Rd Ste 1102
Alpharetta, GA 30005-1740
Phone (470) 282-5157

National Provider Directory

National Provider Directory

Locations

4080 McGinnis Ferry Rd
Ste 1102
Alpharetta, GA 30005
Phone (470) 282-5157

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1073402095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 MCGINNIS FERRY RD STE 1102",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300051740",
            "telephone_number": "470-282-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 MCGINNIS FERRY RD STE 1102",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300051740",
            "telephone_number": "470-282-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHARETTA MODERN DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "KAKADIA",
        "authorized_official_first_name": "ASHISH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-282-5157",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.