Active NPI
Maria Cristina Everson, D.D.S.
- Dentist
- Atlanta, GA
National Provider Identifier
1699061440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN014396
- Practice address
- 222 12TH St NE
Suite A3Ef
Atlanta, GA 30309-4001 - Phone
- (404) 873-2957
- NPI assigned
- Jun 21, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019028674 | IL | |
| Dentist | 122300000X | DN014396 | GA | Primary |
Addresses
Primary practice location
222 12TH St NE
Suite A3Ef
Atlanta, GA 30309-4001
Mailing address
222 12TH St NE
Atlanta, GA 30309-4001
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN014396 | GA | MD | Dentist |
| 019028674 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440374400000",
"number": "1699061440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 12TH ST NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303094001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 12TH ST NE",
"address_2": "SUITE A3EF",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303094001",
"telephone_number": "404-873-2957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERSON",
"first_name": "MARIA",
"middle_name": "CRISTINA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-21",
"last_updated": "2015-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019028674",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN014396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.