Active NPI
Andrea Rainoff, DMD
- General Practice Dentistry
- Brookhaven, GA
National Provider Identifier
1164205282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN123242
- Practice address
- 3575 Durden Dr NE Ste 102
Brookhaven, GA 30319-2254 - Phone
- (770) 262-7898
- NPI assigned
- Aug 14, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN123242 | GA | Primary |
Addresses
Primary practice location
3575 Durden Dr NE Ste 102
Brookhaven, GA 30319-2254
Mailing address
3772 Ellsworth Way NE
Atlanta, GA 30319-2155
Phone (770) 331-8841
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN123242 | GA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1164205282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3772 ELLSWORTH WAY NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303192155",
"telephone_number": "770-331-8841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3575 DURDEN DR NE STE 102",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303192254",
"telephone_number": "770-262-7898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAINOFF",
"first_name": "ANDREA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-14",
"last_updated": "2023-08-14",
"certification_date": "2023-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN123242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookhaven, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.