Individual provider Active NPI

Anthony Ernest Rozier Jr., D.D.S.

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1073798138
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN011495 Issued in GA
Practice address
341 Ponce de Leon Ave NE
Oral Health Center
Atlanta, GA 30308-2012
Phone
(404) 616-9772
Fax
(404) 616-9745
NPI assigned
Jan 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN011495 GA
General Practice Dentistry 1223G0001X DN011495 GA Primary

Addresses

Primary practice location

341 Ponce de Leon Ave NE
Oral Health Center
Atlanta, GA 30308-2012

Mailing address

341 Ponce de Leon Ave NE
Oral Health Center
Atlanta, GA 30308-2012
Phone (404) 616-9772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110802000809 GA Practitioner - Oral Surgery 5890964100 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN011495GAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Grady Memorial Hospital Corporation CurrentSince Jun 11, 2011 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Jun 11, 2011 Accepting new patients
Grady Memorial Hospital Corporation Past Accepting new patients

Locations

341 Ponce de Leon Ave NE
Atlanta, GA 30308
Phone (404) 616-2440

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199750400000",
    "number": "1073798138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 PONCE DE LEON AVE NE",
            "address_2": "ORAL HEALTH CENTER",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082012",
            "telephone_number": "404-616-9772",
            "fax_number": "404-616-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 PONCE DE LEON AVE NE",
            "address_2": "ORAL HEALTH CENTER",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082012",
            "telephone_number": "404-616-9772",
            "fax_number": "404-616-9745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZIER",
        "first_name": "ANTHONY",
        "middle_name": "ERNEST",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN011495",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN011495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.