Individual provider Active NPI

Brett S Silverman, DDS, MAGD, LLSR

  • General Practice Dentistry
  • Alpharetta, GA
National Provider Identifier
1245304443
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
011421 Issued in GA
Practice address
4205 North Point Parkway
Building D
Alpharetta, GA 30022-6604
Phone
(678) 389-9000
Fax
(678) 389-9003
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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 011421 GA Primary

Addresses

Primary practice location

4205 North Point Parkway
Building D
Alpharetta, GA 30022-6604

Mailing address

4205 North Point Parkway
Building D
Alpharetta, GA 30022-6604
Phone (678) 389-9000

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

LicenseStateTypeSpecialty
011421GAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1245304443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 NORTH POINT PARKWAY",
            "address_2": "BUILDING D",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300226604",
            "telephone_number": "678-389-9000",
            "fax_number": "678-389-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 NORTH POINT PARKWAY",
            "address_2": "BUILDING D",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300226604",
            "telephone_number": "678-389-9000",
            "fax_number": "678-389-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERMAN",
        "first_name": "BRETT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS, MAGD, LLSR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "011421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.