Shiva Talebi, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN015856 Issued in GA

Practice address

6667 Vernon Woods Dr NE, Ste B30
Sandy Springs, GA 30328-3213

Phone

(404) 666-8066

NPI assigned

Aug 30, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sandy Springs Dental Associates, P.C.

  • General Practice Dentistry
  • Sandy Springs, GA
  • NPI 1023493251
  NPD (past)

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1124676374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6667 VERNON WOODS DR NE, STE B30",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303283213",
            "telephone_number": "404-666-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6667 VERNON WOODS DR NE, STE B30",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303283213",
            "telephone_number": "404-666-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALEBI",
        "first_name": "SHIVA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015856",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN015856",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Synapse Neurorehab and Wellness LLC
• Synergy Medical Group, LLC
• Marla Marie Szwast
• Thong Ta
• Yogita Tailor Desai, D.O.
• Tiffany Talton, ARPN
• Tanner Chiropractic
• Bradley Tansky, PT, DPT
• Kathleen Tantuco, D.M.D.
• Joshua Daniel Tapia, MD

• General Practice Dentistry in Sandy Springs, GA
• Providers in Sandy Springs, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.