Amir Ghalehgol, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN014472 Issued in GA

Practice address

5252 Roswell Rd
Atlanta, GA 30342-1969

Phone

(404) 252-5252

NPI assigned

Apr 11, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1285990556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 ROSWELL RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421969",
            "telephone_number": "404-252-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5252 ROSWELL RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421969",
            "telephone_number": "404-252-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHALEHGOL",
        "first_name": "AMIR",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-11",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DN014472",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latoyus Geter, WHNP-BC. AGNP-C
• Margaret Gettis, CPNP, DNP
• Michael Gevontmakher, DPT
• Emily Diane Geyer, MD
• Rajat Ghaiy, M.D.
• Jalal Ghali, M.D.
• Karim Mamdouh Ghanem, PHYSICIAN ASSISTANT
• Ghaleb Ghani, MD
• Sami Robert Ghani
• Amir Ghanipour, OD

• General Practice Dentistry in Atlanta, GA
• Providers in Atlanta, 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 Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.