Individual provider Active NPI

Isabella Batallas Myers, BS, DMD, MBA

  • Dentist
  • Powder Springs, GA
National Provider Identifier
1578307526
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN123448 Issued in GA
Practice address
5780 C H James Pkwy Ste 280
Powder Springs, GA 30127-6076
Phone
(770) 943-2525
Fax
(770) 943-2527
NPI assigned
Jun 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN123448 GA Primary

Addresses

Primary practice location

5780 C H James Pkwy Ste 280
Powder Springs, GA 30127-6076

Mailing address

421 Hummingbird TRL
Dallas, GA 30132-9321
Phone (678) 708-7532

Other names 1

  • Isabella Sonia Batallas Former name

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
Credentials
Bachelor of Science, Master of Business Administration

State licenses

LicenseStateTypeSpecialty
DN123448GAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1578307526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 HUMMINGBIRD TRL",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301329321",
            "telephone_number": "678-708-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5780 C H JAMES PKWY STE 280",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301276076",
            "telephone_number": "770-943-2525",
            "fax_number": "770-943-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "ISABELLA",
        "middle_name": "BATALLAS",
        "credential": "BS, DMD, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN123448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ISABELLA",
            "last_name": "BATALLAS",
            "middle_name": "SONIA",
            "credential": "BS, DMD, MBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Powder Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.