Individual provider Active NPI

Franklin Chuks Anya, DDS

  • Dentist
  • Conyers, GA
National Provider Identifier
1225799281
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN122557 Issued in GA
Practice address
2239 Highway 20 SE Ste H
Conyers, GA 30013-2087
Phone
(770) 921-3565
NPI assigned
Jan 3, 2022
Last updated
Jan 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN122557 GA Primary

Addresses

Primary practice location

2239 Highway 20 SE Ste H
Conyers, GA 30013-2087

Mailing address

225 Franklin Rd Unit 1406
Atlanta, GA 30342-2694
Phone (848) 482-0141

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: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220301002414 GA Order and Referring Only - DentistPractitioner - Dentist 7810381233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN122557GAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Conyers Smiles Dentistry, PC PastSince Jan 17, 2022 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1225799281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 FRANKLIN RD UNIT 1406",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303422694",
            "telephone_number": "848-482-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2239 HIGHWAY 20 SE STE H",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132087",
            "telephone_number": "770-921-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANYA",
        "first_name": "FRANKLIN",
        "middle_name": "CHUKS",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN122557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.