Individual provider Active NPI

Nadia Esfandiarinia, D.M.D

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1790079622
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN014286 Issued in GA
Practice address
600 Galleria Pkwy SE Ste 800
Atlanta, GA 30339-5992
Phone
(404) 261-4941
NPI assigned
Jun 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN014286 GA Primary

Addresses

Primary practice location

600 Galleria Pkwy SE Ste 800
Atlanta, GA 30339-5992

Mailing address

600 Galleria Pkwy SE Ste 800
Atlanta, GA 30339-5992
Phone (404) 261-4941

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160722001859 GA Order and Referring Only - Other (Non-Physician) 7416240858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1790079622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GALLERIA PKWY SE STE 800",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395992",
            "telephone_number": "404-261-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GALLERIA PKWY SE STE 800",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395992",
            "telephone_number": "404-261-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESFANDIARINIA",
        "first_name": "NADIA",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.