Active NPI
Hemant Dhawan, D.M.D
- Pediatric Dentistry
- Cumming, GA
National Provider Identifier
1609100379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 010056
- Practice address
- 3275 Market Place Blvd Ste 150
Cumming, GA 30041-7980 - Phone
- (678) 578-5384
- NPI assigned
- Sep 28, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 010056 | CT | Primary |
Addresses
Primary practice location
3275 Market Place Blvd Ste 150
Cumming, GA 30041-7980
Mailing address
8315 Colonial PL
Duluth, GA 30097-6648
Phone (678) 646-1160
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 |
|---|---|---|---|
| 010056 | CT | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Atlanta Kids Dentistry, LLC | Pediatric Dentistry | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Dentistry
- Duluth, GA
- NPI 1013649136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656374400000",
"number": "1609100379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8315 COLONIAL PL",
"city": "DULUTH",
"state": "GA",
"postal_code": "300976648",
"telephone_number": "678-646-1160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3275 MARKET PLACE BLVD STE 150",
"city": "CUMMING",
"state": "GA",
"postal_code": "300417980",
"telephone_number": "678-578-5384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DHAWAN",
"first_name": "HEMANT",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-28",
"last_updated": "2022-06-28",
"certification_date": "2022-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CT",
"license": "010056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.