Individual provider Active NPI

Hind Hamid Elhag, DMD

  • Dentist
  • Buford, GA
National Provider Identifier
1386489235
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN123469 Issued in GA
Practice address
1905 Mall of Georgia Blvd
Buford, GA 30519-5019
Phone
(678) 788-7514
NPI assigned
Jul 1, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN123469 GA Primary

Addresses

Primary practice location

1905 Mall of Georgia Blvd
Buford, GA 30519-5019

Mailing address

270 Mayfield Farms Dr
Lawrenceville, GA 30043-6167
Phone (404) 992-3079

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
DN123469GAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1386489235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 MAYFIELD FARMS DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300436167",
            "telephone_number": "404-992-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 MALL OF GEORGIA BLVD",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305195019",
            "telephone_number": "678-788-7514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELHAG",
        "first_name": "HIND",
        "middle_name": "HAMID",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN123469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.