Organization Active NPI

Dream Aesthetic Academy

  • Research Clinic/Center
  • Marietta, GA
National Provider Identifier
1093572455
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Research Clinic/CenterTaxonomy code 261QR1100X
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

Updated by the provider on Mar 25, 2024

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.DNPI 1477303212
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.