Richard William Henshaw Upton, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN015832 Issued in GA

Practice address

800 Mount Vernon Hwy NE Ste 405
Atlanta, GA 30328-4293

Phone

(770) 394-3114

NPI assigned

Apr 11, 2019

Last updated

Aug 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Comprehensive Dentistry of Atlanta LLC

  dba Serenity Dental of Sandy Springs

  • Dentist
  • Atlanta, GA
  • NPI 1174334031

  Single Specialty

  NPD

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1518420926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 GLEN IRIS DR NE APT 516",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082762",
            "telephone_number": "919-616-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MOUNT VERNON HWY NE STE 405",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284293",
            "telephone_number": "770-394-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPTON",
        "first_name": "RICHARD",
        "middle_name": "WILLIAM HENSHAW",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-11",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naadira Christine Upshaw, PSY.D.
• Thomas Stephen Upshaw, MD
• Upspring ABA, LLC
• Upstream ABA Georgia LLC
• Katherine Fallon Upton, NCC
• Chiemi Amanda Ura, C.N.M.
• Darla Rae Ura, RN, ANP
• Urban Indigo Inc (The Urban Indigo Foundation)
• John G Urban, AA
• Amy E Urbanus, CSFA

• General Practice Dentistry in Atlanta, GA
• Providers in Atlanta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.