Organization Active NPI

Gemstone Dental Spa LLC (Dba Lux Dentistry )

  • Dentist
  • Alpharetta, GA
National Provider Identifier
1164377123
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
GEMSTONE DENTAL SPA LLC (DBA LUX DENTISTRY )
Practice address
1155 Bluegrass CT Ste 5
Alpharetta, GA 30004-2489
Phone
(678) 773-7354
NPI assigned
Mar 3, 2026
Last updated
Mar 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Authorized official

Name
Dr. Nasim Doroudgar, DMDNPI 1659996403
Title
Dentist/Owner
Phone
(678) 773-7354

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
Dentist 122300000X Primary

Addresses

Primary practice location

1155 Bluegrass CT Ste 5
Alpharetta, GA 30004-2489

Mailing address

1155 Bluegrass CT Ste 5
Alpharetta, GA 30004-2489
Phone (678) 773-7354

National Provider Directory

National Provider Directory

Locations

1155 Bluegrass Ct
Ste 5
Alpharetta, GA 30004
Phone (678) 773-7354

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": "1772496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1164377123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 BLUEGRASS CT STE 5",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300042489",
            "telephone_number": "678-773-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 BLUEGRASS CT STE 5",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300042489",
            "telephone_number": "678-773-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEMSTONE DENTAL SPA LLC (DBA LUX DENTISTRY )",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "DOROUDGAR",
        "authorized_official_first_name": "NASIM",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "678-773-7354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.