Shelli Funt, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN015619 Issued in GA

Practice address

3280 Howell Mill Rd NW Ste 339
Atlanta, GA 30327

Phone

(140) 435-1103

NPI assigned

Oct 20, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Timothy P. Resuta, D.M.D., P.C.

  • General Practice Dentistry
  • Atlanta, GA
  • NPI 1396011664
  NPD (past)
• Timothy P. Resuta, DMD and Associates, LLC

  • Dentist
  • Atlanta, GA
  • NPI 1831511179
  NPD (past)
• Azure Dentistry PLLC

  • Dentist
  • New York, NY
  • NPI 1912713959
  NPD (past)

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1679945455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 HOWELL MILL RD NW STE 339",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274109",
            "telephone_number": "404-351-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 HOWELL MILL RD NW STE 339",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30327",
            "telephone_number": "140-435-1103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 W 116th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100262431",
            "country_code": "US",
            "telephone_number": "646-666-0757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3112 N Main St",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296212763",
            "country_code": "US",
            "telephone_number": "864-332-4791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUNT",
        "first_name": "SHELLI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "0586931",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "DGD9065",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yun Mei Fung, M.D.
• Joseph P Funk, MD
• Kathleen G Funk, MD
• Roni Stiller Funk, PH.D.
• Sidney A Funk, M.D.
• Kara Fur, MSN, APRN, FNP-BC
• Cathy L Furbish, PT
• Charne Delise Furcron, LPC, NCC, BC-DMT
• Laura Knox Furfari
• Dreamella N Furgerson, OTR/L

• General Practice Dentistry in Atlanta, GA
• Providers in Atlanta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.