Kshitij Vipin Majmundar, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

57545 Issued in GA

Practice address

1360 Upper Hembree Rd
Suite 201
Roswell, GA 30076-1146

Phone

(770) 475-3361

Fax

(770) 664-4431

NPI assigned

Feb 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thomas a. Johnson, DDS

  • Oral and Maxillofacial Radiology Dentistry
  • Roswell, GA
  • NPI 1699945311
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1437290004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 933087",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311933087",
            "telephone_number": "770-475-3361",
            "fax_number": "770-664-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 UPPER HEMBREE RD",
            "address_2": "SUITE 201",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761146",
            "telephone_number": "770-475-3361",
            "fax_number": "770-664-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAJMUNDAR",
        "first_name": "KSHITIJ",
        "middle_name": "VIPIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "57545",
            "primary": true
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "GA",
            "license": "57545",
            "primary": false
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "GA",
            "license": "57545",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "57545",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Brandon Maher
• Patrick Oliver Maher, MD
• Alyse Mahfouz
• Jessica Jill Mahoney, SLP-CCC
• Kimberley A. Mahoney, PT
• Mak Anesthesia Pain Services, LLC
• Melia Maketo, FNP-C
• Makhzan Orthodontics
• Michael S Makuch, D.M.D.
• Maria C Malaver-Reyes, PT

• Specialist in Roswell, GA
• Providers in Roswell, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.