Active NPI
Margarita Andrea Durst, D.M.D
- Dentist
- Carrollton, GA
National Provider Identifier
1073898771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN014350
- Practice address
- 2310 Bankhead Hwy
Carrollton, GA 30116-5828 - Phone
- (770) 832-1717
- NPI assigned
- Oct 14, 2011
- Last updated
- Sep 10, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN014350 | GA | Primary |
| General Practice Dentistry | 1223G0001X | DN014350 | GA |
Addresses
Primary practice location
2310 Bankhead Hwy
Carrollton, GA 30116-5828
Mailing address
2310 Bankhead Hwy
Carrollton, GA 30116-5828
Phone (770) 831-1717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 15, 2015 through Sep 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN014350 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affordable Dentures - Carrollton II, P.C. | General Practice | Past | Accepting new patients |
| Affordable Dentures - Carrollton PC | Dentist | 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.
-
- General Practice Dentistry
- Carrollton, GA
- NPI 1255841268
-
- Dentist
- Carrollton, GA
- NPI 1467765271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568073600000",
"number": "1073898771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2310 BANKHEAD HWY",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301165828",
"telephone_number": "770-831-1717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 BANKHEAD HWY",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301165828",
"telephone_number": "770-832-1717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURST",
"first_name": "MARGARITA",
"middle_name": "ANDREA",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-14",
"last_updated": "2019-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN014350",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN014350",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.