Active NPI
Vanessa Dawn Irvine
- Dental Assistant
- Powder Springs, GA
National Provider Identifier
1649403247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- Practice address
- 4150 Macland Rd
Powder Springs, GA 30127-1202 - Phone
- (770) 222-1344
- Fax
- (770) 222-1345
- NPI assigned
- Aug 29, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | Primary |
Addresses
Primary practice location
4150 Macland Rd
Powder Springs, GA 30127-1202
Mailing address
195 Prescott Dr
Acworth, GA 30101-2713
Phone (770) 529-5466
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251504000000",
"number": "1649403247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 PRESCOTT DR",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301012713",
"telephone_number": "770-529-5466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 MACLAND RD",
"city": "POWDER SPRINGS",
"state": "GA",
"postal_code": "301271202",
"telephone_number": "770-222-1344",
"fax_number": "770-222-1345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRVINE",
"first_name": "VANESSA",
"middle_name": "DAWN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-29",
"last_updated": "2009-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Aug 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.