Individual provider Active NPI

Michael Szikman, D.D.S.

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1508039876
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8812 Issued in GA
Practice address
2070 S Park PL SE Ste 300
Atlanta, GA 30339-2045
Phone
(770) 952-3333
Fax
(770) 952-6823
NPI assigned
Apr 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8812 GA Primary

Addresses

Primary practice location

2070 S Park PL SE Ste 300
Atlanta, GA 30339-2045

Mailing address

2070 S Park PL SE Ste 300
Atlanta, GA 30339-2045
Phone (770) 952-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150713003119 GA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2567775018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8812GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
The Szikman Dental Group, P.C. General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1508039876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 S PARK PL SE STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392045",
            "telephone_number": "770-952-3333",
            "fax_number": "770-952-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 S PARK PL SE STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392045",
            "telephone_number": "770-952-3333",
            "fax_number": "770-952-6823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZIKMAN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "8812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.