Sholeh Namdari

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN122315 Issued in GA

Practice address

4373 Jimmy Lee Smith Pkwy Ste 105
Hiram, GA 30141-2642

Phone

(678) 225-9244

NPI assigned

Jun 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1750950341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 KINGS WAY APT 5",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044494",
            "telephone_number": "470-747-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4373 JIMMY LEE SMITH PKWY STE 105",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301412642",
            "telephone_number": "678-225-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMDARI",
        "first_name": "SHOLEH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN122315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Shadi",
            "affiliation": "N",
            "address_1": "4373 Jimmy Lee Smith Pkwy Ste 105",
            "city": "Hiram",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301412642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth W Muraya
• Amy Renee Murray, M.D.
• Marlei Murray
• Myeyedr. Optometry of Georgia, LLC
• Tamarrian Myrick, HAIR REPLACEMENT SPE
• Minesh Nandi, MD
• National Vision, Inc.
• National Vision, Inc.
• New Life Directions LLC
• Olive Ngome

• General Practice Dentistry in Hiram, GA
• Providers in Hiram, 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 Jun 18, 2021; 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.