Active NPI
Jessy Koshy BDS DMD PC
- General Practice Dentistry
- Atlanta, GA
National Provider Identifier
1497512263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- JESSY KOSHY BDS DMD PC
- Practice address
- 7878 Roswell Rd Ste O
Atlanta, GA 30350-4866 - Phone
- (770) 993-7947
- Fax
- (770) 993-8079
- NPI assigned
- Feb 28, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessy Koshy, DMD
- Title
- Dentist
- Phone
- (770) 993-7947
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
7878 Roswell Rd Ste O
Atlanta, GA 30350-4866
Mailing address
7878 Roswell Rd Ste O
Atlanta, GA 30350-4866
Phone (770) 993-7947
Other names 1
- Jessy Koshy BDS DMD PC
National Provider Directory
National Provider DirectoryLocations
7878 Roswell Rd
Ste O
Sandy Springs, GA 30350
Phone (678) 443-1491
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Atlanta, GA
- NPI 1003995390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709078400000",
"number": "1497512263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7878 ROSWELL RD STE O",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303504866",
"telephone_number": "770-993-7947",
"fax_number": "770-993-8079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7878 ROSWELL RD STE O",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303504866",
"telephone_number": "770-993-7947",
"fax_number": "770-993-8079"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JESSY KOSHY BDS DMD PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-28",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A",
"authorized_official_last_name": "KOSHY",
"authorized_official_first_name": "JESSY",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "770-993-7947",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jessy Koshy BDS DMD PC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Feb 28, 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.