Individual provider Active NPI

Jasmine Hanjrah, DDS

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1417149261
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN013614 Issued in GA
Practice address
1350 Spring St NW Ste 6
Atlanta, GA 30309-2860
Phone
(404) 389-1950
Fax
(678) 444-4152
NPI assigned
Aug 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

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 DN013614 GA Primary

Addresses

Primary practice location

1350 Spring St NW Ste 6
Atlanta, GA 30309-2860

Mailing address

1350 Spring St NW Ste 6
Atlanta, GA 30309-2860
Phone (404) 389-1950

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
DN013614GAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354233600000",
    "number": "1417149261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 SPRING ST NW STE 6",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092860",
            "telephone_number": "404-389-1950",
            "fax_number": "678-444-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 SPRING ST NW STE 6",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092860",
            "telephone_number": "404-389-1950",
            "fax_number": "678-444-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANJRAH",
        "first_name": "JASMINE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-15",
        "last_updated": "2012-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; 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.