Organization Active NPI

Brookhaven Family Dentistry, P. C.

  • Dental Clinic/Center
  • Atlanta, GA
National Provider Identifier
1083854236
Registry record updated Mar 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BROOKHAVEN FAMILY DENTISTRY, P. C.
Practice address
3528 Ashford Dunwoody Rd NE
Atlanta, GA 30319-2002
Phone
(770) 451-0611
NPI assigned
Mar 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2009

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

Authorized official

Name
Andrew Kokabi, DMDNPI 1083763601
Title
Owner
Phone
(770) 921-9059

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3528 Ashford Dunwoody Rd NE
Atlanta, GA 30319-2002

Mailing address

3528 Ashford Dunwoody Rd NE
Atlanta, GA 30319-2002
Phone (770) 451-0611

National Provider Directory

National Provider Directory

Locations

3528 Ashford Dunwoody Rd NE
Brookhaven, GA 30319
Phone (770) 451-0611

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1235865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235865600000",
    "number": "1083854236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3528 ASHFORD DUNWOODY RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303192002",
            "telephone_number": "770-451-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3528 ASHFORD DUNWOODY RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303192002",
            "telephone_number": "770-451-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKHAVEN FAMILY DENTISTRY, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-01",
        "last_updated": "2009-03-01",
        "status": "A",
        "authorized_official_last_name": "KOKABI",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-921-9059",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "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 Mar 1, 2009; 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.