Individual provider Active NPI

Judith A Finkelman, D.D.S.

  • Pediatric Dentistry
  • Alpharetta, GA
National Provider Identifier
1649387127
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN010318 Issued in GA
Practice address
8560 Holcomb Bridge Rd
Ste 119
Alpharetta, GA 30022-5988
Phone
(770) 642-9824
Fax
(770) 642-8540
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN010318 GA
Pediatric Dentistry 1223P0221X DN010318 GA Primary

Addresses

Primary practice location

8560 Holcomb Bridge Rd
Ste 119
Alpharetta, GA 30022-5988

Mailing address

3903 Jiles Rd NW Ste 210
Kennesaw, GA 30144-4613
Phone (770) 590-9050

Other identifiers 1

IdentifierTypeStateIssuer
092063314MedicaidGA

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

LicenseStateTypeSpecialty
DN010318GAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1649387127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 JILES RD NW STE 210",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301444613",
            "telephone_number": "770-590-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8560 HOLCOMB BRIDGE RD",
            "address_2": "STE 119",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300225988",
            "telephone_number": "770-642-9824",
            "fax_number": "770-642-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINKELMAN",
        "first_name": "JUDITH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN010318",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN010318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092063314",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.