Azi Soltani Nia

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013543 Issued in GA

Practice address

150 Prominence Point Pkwy
Suite 500
Canton, GA 30114-9108

Phone

(770) 479-9999

Fax

(770) 479-9990

NPI assigned

Jun 27, 2007

Last updated

Jan 4, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Braces Braces LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Acworth, GA
  • NPI 1487061214
  NPD (past)
• Nia Dentistry LLC

  dba Nia Pediatric Dentistry and Family Orthopedics

  • Pediatric Dentistry
  • Canton, GA
  • NPI 1336497403
  NPD (past)

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1558568337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PROMINENCE POINT PKWY",
            "address_2": "SUITE 500",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301149108",
            "telephone_number": "770-479-9999",
            "fax_number": "770-479-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PROMINENCE POINT PKWY",
            "address_2": "SUITE 500",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301149108",
            "telephone_number": "770-479-9999",
            "fax_number": "770-479-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIA",
        "first_name": "AZI",
        "middle_name": "SOLTANI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geoffrey Ngeny, MD
• Annie Giahung Nguyen, PHARMD
• Giang Nguyen
• Hong Diem Nguyen, NP-C
• Nia Dentistry LLC (Nia Pediatric Dentistry and Family Orthopedics)
• Farshid Hamidi Nia, DMD, MSD
• Jeremiah Tate Nichols, PTA, LAT, ATC
• Nimble Kids LLC (Comprehensive Therapy Children's Center)
• Nirali Procter, DMD, LLC
• Angela Nicole Nix, PT

• General Practice Dentistry in Canton, GA
• Providers in Canton, 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 Jan 4, 2013; 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.