Zelda Marie Pittman, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN012466 Issued in GA

Practice address

465 Blvd SE
Ste 207a
Atlanta, GA 30312

Phone

(404) 624-1230

Fax

(404) 624-1210

NPI assigned

Sep 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Grant Park Dental Group PC

  • General Practice Dentistry
  • Atlanta, GA
  • NPI 1679877005
  NPD (past)
• Professional Dental Alliance of Atlanta Boulevard SE, LLC

  • Dentist
  • Atlanta, GA
  • NPI 1689239675
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497858716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 BLVD SE",
            "address_2": "STE 207A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30312",
            "telephone_number": "404-624-1230",
            "fax_number": "404-624-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 BLVD SE",
            "address_2": "STE 207A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30312",
            "telephone_number": "404-624-1230",
            "fax_number": "404-624-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "ZELDA",
        "middle_name": "MARIE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN012466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000931301D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaimie T. Pitt
• Claudia Pittard
• Britney Pitter
• Danielle Nicole Pitter
• John Richard Pittman Jr., M.D.
• Jacy Wade Pitts, MS,RD,LD
• Jon Darryl Pitts, DPM
• Latricia Pitts, LPC
• Robin Pitts, FNP-BC
• Rosalyn Pitts, PH.D.

• Dentist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.