Parul Jain, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

014709 Issued in GA

Practice address

1425 Ellsworth Industrial Blvd NW Ste 36
Atlanta, GA 30318-4154

Phone

(404) 777-7147

Fax

(404) 777-7147

NPI assigned

Jan 6, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1417193897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 ELLSWORTH INDUSTRIAL BLVD NW STE 36",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303184154",
            "telephone_number": "404-777-7147",
            "fax_number": "404-777-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 ELLSWORTH INDUSTRIAL BLVD NW STE 36",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303184154",
            "telephone_number": "404-777-7147",
            "fax_number": "404-777-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "PARUL",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-06",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN614709",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "054076",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "014709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arman Jahangiri, MD PHD
• Ziluo Jaiah
• Anand S Jain, M.D.
• Lucky Jain, MD
• Nidhi Jain, MD, MPH
• Seema Jain, MD
• Shabnam Jain, MD, MPH
• Supriya Jain
• Tanya Jain, PHARM.D.
• Tarun Jain, M.D.

• 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 28, 2021; 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.