Dipa Sharma Thakkar, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN122224 Issued in GA

Practice address

3329 Cobb Pkwy NW Ste 300
Acworth, GA 30101-8841

Phone

(678) 809-2999

NPI assigned

Nov 27, 2009

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1259280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1194053397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4078 SWEAT CREEK CV",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300621180",
            "telephone_number": "517-902-1797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3329 COBB PKWY NW STE 300",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301018841",
            "telephone_number": "678-809-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKKAR",
        "first_name": "DIPA",
        "middle_name": "SHARMA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-27",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.028160",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN122224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019.028160",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Taylor
• Hannah L Taylor, MS BCBA
• Lauren Elizabeth Taylor
• Yahzmin Teasley
• Tend and Release Physical Therapy and Wellness
• Lindsay Nicole Thaxton, PHD, LPC, CPCS
• Richard John Thaxton III, MA, LPC
• The Art of Behavioral Design, LLC
• The Hopequest Ministry Group, Inc.
• The Kroger Co

• General Practice Dentistry in Acworth, GA
• Providers in Acworth, 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 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.

Verify at the official NPI Registry.