Individual provider Active NPI

Avni Maru, DMD

  • Endodontics
  • Brookhaven, GA
National Provider Identifier
1518258243
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN015823 Issued in GA
Practice address
2556 Apple Valley Rd NE Ste 150
Brookhaven, GA 30319-5428
Phone
(404) 264-1944
NPI assigned
Apr 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DN015823 GA Primary

Addresses

Primary practice location

2556 Apple Valley Rd NE Ste 150
Brookhaven, GA 30319-5428

Mailing address

3493 Highgrove Way NE
Brookhaven, GA 30319-1993
Phone (270) 302-6692

Other practice location 1

185 Allen Rd Ste 150
Sandy Springs, GA 30328-4857
Phone (404) 496-6146

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN015823GAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Frank R. Depaola, DDS & Assoc., LLC 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": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1518258243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3493 HIGHGROVE WAY NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303191993",
            "telephone_number": "270-302-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2556 APPLE VALLEY RD NE STE 150",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303195428",
            "telephone_number": "404-264-1944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 Allen Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Sandy Springs",
            "state": "GA",
            "postal_code": "303284857",
            "country_code": "US",
            "telephone_number": "404-496-6146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARU",
        "first_name": "AVNI",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-28",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "GA",
            "license": "DN015823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.

Verify at the official NPI Registry.