Venita C Freeman, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN013443 Issued in GA

Practice address

920 Dannon View
Suite 3102
Atlanta, GA 30331-2158

Phone

(404) 349-7646

Fax

(404) 349-7647

NPI assigned

Nov 30, 2005

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

Other names 1

• Dr. Venita C Freeman Moore Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372723200000",
    "number": "1205810686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 DANNON VIEW",
            "address_2": "SUITE 3102",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312158",
            "telephone_number": "404-349-7646",
            "fax_number": "404-349-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 DANNON VIEW",
            "address_2": "SUITE 3102",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312158",
            "telephone_number": "404-349-7646",
            "fax_number": "404-349-7647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "VENITA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "6231",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN013443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "886567",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VENITA",
            "last_name": "FREEMAN MOORE",
            "middle_name": "C",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paul Howard Freeman, DDS
• Rachel Freeman, PA
• Rachel Aleeya Freeman, LMSW
• Sarah Benton Freeman, APRN, PHD
• Stacie Freeman
• Yolanda Patrice Freeman, LMSW
• Meagan Freeze, RN
• Albert H. Fregosi, PAAA
• Drew Freilich, MD
• Joy Freilich, LPC

• Pediatric Dentistry in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.