Active NPI
Holly Markwordt, DDS
- Dentist
- Marietta, GA
National Provider Identifier
1225577737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- GA10455
- Practice address
- 1136 Taliwa TRL NE
Marietta, GA 30068-2389 - Phone
- (404) 664-7702
- NPI assigned
- Feb 16, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | GA10455 | GA | Primary |
Addresses
Primary practice location
1136 Taliwa TRL NE
Marietta, GA 30068-2389
Mailing address
1136 Taliwa Trail NE
Marietta, GA 30068
Phone (404) 664-7702
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 |
|---|---|---|---|
| GA10455 | GA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487203200000",
"number": "1225577737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1136 TALIWA TRAIL NE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "30068",
"telephone_number": "404-664-7702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1136 TALIWA TRL NE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300682389",
"telephone_number": "404-664-7702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKWORDT",
"first_name": "HOLLY",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-16",
"last_updated": "2017-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "GA10455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.