Individual provider Active NPI

Habi Ouedraogo, DMD

  • General Practice Dentistry
  • Hampton, GA
National Provider Identifier
1659292407
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN124276 Issued in GA
Practice address
2382 Jonesboro Rd
Hampton, GA 30228-6003
Phone
(678) 960-7833
NPI assigned
Jul 24, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN124276 GA Primary

Addresses

Primary practice location

2382 Jonesboro Rd
Hampton, GA 30228-6003

Mailing address

2200 Campbellton Rd SW Ste E
Atlanta, GA 30311-4619

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": "1784851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1659292407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 CAMPBELLTON RD SW STE E",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303114619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2382 JONESBORO RD",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302286003",
            "telephone_number": "678-960-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUEDRAOGO",
        "first_name": "HABI",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-07-24",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN124276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.