Active NPI
Alexandra Rae Cabrera, DMD
- General Practice Dentistry
- Marietta, GA
National Provider Identifier
1578298352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN26996
- Practice address
- 3733 Canton Rd
Marietta, GA 30066-2663 - Phone
- (770) 926-9914
- NPI assigned
- Jul 18, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN26996 | FL | Primary |
| General Practice Dentistry | 1223G0001X | DN122921 | GA |
Addresses
Primary practice location
3733 Canton Rd
Marietta, GA 30066-2663
Mailing address
1810 Hawthorn Ter
Cumming, GA 30041-7640
Phone (727) 836-0682
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN26996 | FL | MD | General Practice Dentistry |
| DN122921 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer H Wohlers DDS PC | General Practice | Current | Accepting new patients |
| Todd W Mullikin, DDS, PC | Single Specialty | Past | Accepting new patients |
Locations
3733 Canton Rd
Marietta, GA 30066
Phone (770) 926-9914
Organizations & group practices 2
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": "1658102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674691200000",
"number": "1578298352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1810 HAWTHORN TER",
"city": "CUMMING",
"state": "GA",
"postal_code": "300417640",
"telephone_number": "727-836-0682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3733 CANTON RD",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300662663",
"telephone_number": "770-926-9914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABRERA",
"first_name": "ALEXANDRA",
"middle_name": "RAE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-18",
"last_updated": "2023-01-26",
"certification_date": "2023-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN26996",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN122921",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.