Active NPI
Abbey Marie Elson, DMD
- Pediatric Dentistry
- Alpharetta, GA
National Provider Identifier
1760042287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN122303
- Practice address
- 8420 Holcomb Bridge Rd Ste 240
Alpharetta, GA 30022-1836 - Phone
- (470) 299-0131
- Fax
- (470) 299-0131
- NPI assigned
- Jun 17, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN122303 | GA | Primary |
Addresses
Primary practice location
8420 Holcomb Bridge Rd Ste 240
Alpharetta, GA 30022-1836
Mailing address
5045 Roxburgh Dr
Roswell, GA 30076-3710
Phone (314) 852-5965
Other practice location 1
205 Waleska Rd Ste 2B
Canton, GA 30114-2493
Phone (770) 479-1717
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 |
|---|---|---|---|
| DN122303 | GA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smiles for Keeps, LLC | Pediatric Dentistry | Past | Accepting new patients |
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": "1560729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703894400000",
"number": "1760042287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5045 ROXBURGH DR",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300763710",
"telephone_number": "314-852-5965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8420 HOLCOMB BRIDGE RD STE 240",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300221836",
"telephone_number": "470-299-0131",
"fax_number": "470-299-0131"
}
],
"practiceLocations": [
{
"address_1": "205 Waleska Rd Ste 2B",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "GA",
"postal_code": "301142493",
"country_code": "US",
"telephone_number": "770-479-1717",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELSON",
"first_name": "ABBEY",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-17",
"last_updated": "2023-12-30",
"certification_date": "2023-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "GA",
"license": "DN122303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.