Active NPI
Maria Andreina Izarra, D.M.D.
- Periodontics
- Atlanta, GA
National Provider Identifier
1760732697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DN014448
- Practice address
- 199 14TH St NE
#2205
Atlanta, GA 30309-3643 - Phone
- (305) 778-4954
- NPI assigned
- Sep 18, 2012
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DN014448 | GA | Primary |
Addresses
Primary practice location
199 14TH St NE
#2205
Atlanta, GA 30309-3643
Mailing address
199 14TH St NE
#2205
Atlanta, GA 30309-3643
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 |
|---|---|---|---|
| DN014448 | GA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347926400000",
"number": "1760732697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 14TH ST NE",
"address_2": "#2205",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303093643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 14TH ST NE",
"address_2": "#2205",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303093643",
"telephone_number": "305-778-4954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IZARRA",
"first_name": "MARIA",
"middle_name": "ANDREINA",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-18",
"last_updated": "2012-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "GA",
"license": "DN014448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.