Anastasiya Badziai, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN123012 Issued in GA

Practice address

4125 George Busbee Pkwy NW
Kennesaw, GA 30144-7107

Phone

(347) 217-1051

NPI assigned

Jul 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1518538503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 CIRCLE 75 PKWY SE APT 1413",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303394280",
            "telephone_number": "347-217-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 GEORGE BUSBEE PKWY NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447107",
            "telephone_number": "347-217-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADZIAI",
        "first_name": "ANASTASIYA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS043060",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "DN123012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Sue Bach-Elkins, EDS., CCC-SLP-L
• Christina R Bach
• Eva Cezara Baciu, DDS
• Backsmith LLC (BackSmith Chiropractic)
• Gabriel Badia
• Mary F Baer, LCSW
• Paul Bahati, RN
• Bailey Rehab and Therapyworks LLC
• Jamie Bailey, COTA/L
• Stephanie Rene Bailey, OTR L

• Periodontics in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Periodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.