Active NPI
Joshua Kaliher, DMD
- Dentist
- Snellville, GA
National Provider Identifier
1740772128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN123312
- Practice address
- 1830 Scenic Hwy N Ste 220
Snellville, GA 30078-2100 - Phone
- (770) 844-9454
- NPI assigned
- Jun 1, 2018
- Reactivated
- Apr 24, 2024
- Sex
- Male
- Sole proprietor
- No
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 | 10757 | TN | |
| Dentist | 122300000X | DN123312 | GA | Primary |
Addresses
Primary practice location
1830 Scenic Hwy N Ste 220
Snellville, GA 30078-2100
Mailing address
1830 Scenic Hwy N Ste 220
Snellville, GA 30078-2100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240924000755 | GA | Order and Referring Only - Dentist | 9537600150 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN123312 | GA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1740772128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 SCENIC HWY N STE 220",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300782100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1830 SCENIC HWY N STE 220",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300782100",
"telephone_number": "770-844-9454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALIHER",
"first_name": "JOSHUA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-01",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"deactivation_date": "2021-02-26",
"reactivation_date": "2024-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "10757",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN123312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.