Individual provider Active NPI

Ayesha Rahman, D.M.D.

  • General Practice Dentistry
  • Marietta, GA
National Provider Identifier
1225110356
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN012696 Issued in GA
Practice address
121 Marble Mill Rd NW Ste 201
Marietta, GA 30060-7959
Phone
(770) 427-8579
Fax
(770) 427-8957
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN012696 GA Primary

Addresses

Primary practice location

121 Marble Mill Rd NW Ste 201
Marietta, GA 30060-7959

Mailing address

121 Marble Mill Rd NW Ste 201
Marietta, GA 30060-7959
Phone (770) 427-8579

Other identifiers 1

IdentifierTypeStateIssuer
1225110356OtherGANPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150807014191 GA Order and Referring Only - Other (Non-Physician) 7810201514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rahman Dentistry,LLC CurrentSince Jun 15, 2025 Accepting new patients

Locations

121 Marble Mill Rd NW
Ste 201
Marietta, GA 30060
Phone (770) 427-8579

707 Whitlock Ave SW
Ste B22
Marietta, GA 30064
Phone (770) 424-7525

2018 Montreal Rd
Tucker, GA 30084
Phone (770) 934-2728

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1225110356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 MARBLE MILL RD NW STE 201",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607959",
            "telephone_number": "770-427-8579",
            "fax_number": "770-427-8957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 MARBLE MILL RD NW STE 201",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607959",
            "telephone_number": "770-427-8579",
            "fax_number": "770-427-8957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "AYESHA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1225110356",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.