Nasim Doroudgar, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN016038 Issued in GA

Practice address

11125 Jones Bridge Rd Ste 200
Alpharetta, GA 30022-0002

Phone

(678) 274-6965

NPI assigned

Jun 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Gemstone Dental Spa LLC (Dba Lux Dentistry )

  • Dentist
  • Alpharetta, GA
  • NPI 1164377123
  NPD Authorized official

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1659996403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11125 JONES BRIDGE RD STE 200",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300220002",
            "telephone_number": "678-274-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11125 JONES BRIDGE RD STE 200",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300220002",
            "telephone_number": "678-274-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOROUDGAR",
        "first_name": "NASIM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN016038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Donnow
• Melissa Campbell Donovan, RN, IBCLC
• India Doomes
• Shamiah Aliyah Doomes
• Rachel Butler Dorneanu, MS APC NCC
• Alexandria Nicole Dorsey
• Pierre Dorvilier
• Lenore Lawson Doster, M.A., PSY.D.
• Allison Theisen Dotson, O.D.
• Daphnee Douge

• Dentist in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.