Active NPI
Jonathan Ahaddian, DDS
- Dentist
- Norcross, GA
National Provider Identifier
1437098100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 23591
- Practice address
- 3953 Holcomb Bridge Rd Ste 100
Norcross, GA 30092-5201 - Phone
- (404) 433-1317
- NPI assigned
- Mar 26, 2026
- Last updated
- Apr 17, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 23591 | GA | Primary |
Addresses
Primary practice location
3953 Holcomb Bridge Rd Ste 100
Norcross, GA 30092-5201
Mailing address
9735 Wilshire Blvd Ste 228
Beverly Hills, CA 90212-2110
Phone (310) 990-7766
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23591 | GA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1437098100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9735 WILSHIRE BLVD STE 228",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902122110",
"telephone_number": "310-990-7766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3953 HOLCOMB BRIDGE RD STE 100",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300925201",
"telephone_number": "404-433-1317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHADDIAN",
"first_name": "JONATHAN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-03-26",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "23591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.