Active NPI
Dream Aesthetic Academy
- Research Clinic/Center
- Marietta, GA
National Provider Identifier
1093572455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Research Clinic/Center
- Legal business name
- DREAM AESTHETIC ACADEMY
- Doing business as
- IFACE ACADEMY
- Practice address
- 407 Bridle Path
Marietta, GA 30068-4911 - Phone
- (954) 376-2412
- NPI assigned
- Mar 4, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shohreh Ghasemi, DDS,MSC,PH.D
- Title
- Faculty
- Phone
- (954) 376-2412
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Research Clinic/Center | 261QR1100X | Primary |
Addresses
Primary practice location
407 Bridle Path
Marietta, GA 30068-4911
Mailing address
407 Bridle Path
Marietta, GA 30068-4911
Other names 1
- IFACE ACADEMY
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- Atlanta, GA
- NPI 1477303212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711324800000",
"number": "1093572455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 BRIDLE PATH",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300684911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 BRIDLE PATH",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300684911",
"telephone_number": "954-376-2412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DREAM AESTHETIC ACADEMY",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-04",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A",
"authorized_official_last_name": "GHASEMI",
"authorized_official_first_name": "SHOHREH",
"authorized_official_title_or_position": "FACULTY",
"authorized_official_telephone_number": "954-376-2412",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS,MSC,PH.D"
},
"taxonomies": [
{
"code": "261QR1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Research",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "IFACE ACADEMY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.