Reginald L Makerson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN015035 Issued in GA

Practice address

1119 Druid Park Ave
Augusta, GA 30904-5849

Phone

(706) 737-6453

NPI assigned

Jul 21, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Augusta Family Dental, LLC

  • General Practice Dentistry
  • Hephzibah, GA
  • NPI 1376324996
  NPD (past)

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1265817142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 DRUID PARK AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309045849",
            "telephone_number": "706-737-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 DRUID PARK AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309045849",
            "telephone_number": "706-737-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKERSON",
        "first_name": "REGINALD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdul Majeed, MD
• Jaison D Majzer
• Karim Sednaoui Makar, DO
• Chadi Makary, M.D.
• Deborah Young Makerson, DMD
• Jaipal Makhija, M.D.
• Pooja Rani Makhija, M.D
• Vivien Makhoul
• Lianni Maldonado, RD
• Van Lee Malia, D.O.

• General Practice Dentistry in Augusta, GA
• Providers in Augusta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.