Active NPI
David Christian Forrest, DMD
- Dentist
- Carrollton, GA
National Provider Identifier
1700229093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN014600
- Practice address
- 409 Dixie St
Carrollton, GA 30117-3921 - Phone
- (770) 834-9682
- NPI assigned
- Apr 17, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN014600 | GA | Primary |
Addresses
Primary practice location
409 Dixie St
Carrollton, GA 30117-3921
Mailing address
304 Rabun Valley LN
Martinez, GA 30907-9523
Phone (828) 773-2650
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 |
|---|---|---|---|
| DN014600 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dixie Street Dental LLC | Past | Accepting new patients | |
| Dental Center of Carrollton | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Prosthetic/Orthotic Supplier
- Carrollton, GA
- NPI 1962876532
-
- Dental Clinic/Center
- Carrollton, GA
- NPI 1659173334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371513600000",
"number": "1700229093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 RABUN VALLEY LN",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309079523",
"telephone_number": "828-773-2650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 DIXIE ST",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301173921",
"telephone_number": "770-834-9682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORREST",
"first_name": "DAVID",
"middle_name": "CHRISTIAN",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-17",
"last_updated": "2013-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN014600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.