Individual provider Active NPI

Abhikumar Shingala, DMD

  • Dentist
  • Marietta, GA
National Provider Identifier
1750108007
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN123554 Issued in GA
Practice address
707 Whitlock Ave SW Ste C25
Marietta, GA 30064-4655
Phone
(770) 422-7727
NPI assigned
Sep 26, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN123554 GA Primary

Addresses

Primary practice location

707 Whitlock Ave SW Ste C25
Marietta, GA 30064-4655

Mailing address

707 Whitlock Ave SW Ste C25
Marietta, GA 30064-4655
Phone (770) 422-7727

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

LicenseStateTypeSpecialty
DN123554GAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Shingala Dental Associates LLC CurrentSince Oct 20, 2024 Accepting new patients

Locations

707 Whitlock Ave SW
Ste C25
Marietta, GA 30064
Phone (770) 282-5061

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1750108007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 WHITLOCK AVE SW STE C25",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644655",
            "telephone_number": "770-422-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 WHITLOCK AVE SW STE C25",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644655",
            "telephone_number": "770-422-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINGALA",
        "first_name": "ABHIKUMAR",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN123554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.