Active NPI
Anum Khurshid
- Dentist
- Roswell, GA
National Provider Identifier
1821826041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN123533
- Practice address
- 770 Holcomb Bridge Rd
Roswell, GA 30076-1618 - Phone
- (876) 233-2959
- NPI assigned
- Jul 22, 2024
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN123533 | GA | Primary |
Addresses
Primary practice location
770 Holcomb Bridge Rd
Roswell, GA 30076-1618
Mailing address
4540 Brookview Dr
Cumming, GA 30040-6862
Phone (270) 836-6895
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 |
|---|---|---|---|
| DN123533 | GA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1821826041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4540 BROOKVIEW DR",
"city": "CUMMING",
"state": "GA",
"postal_code": "300406862",
"telephone_number": "270-836-6895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 HOLCOMB BRIDGE RD",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300761618",
"telephone_number": "876-233-2959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHURSHID",
"first_name": "ANUM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-22",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN123533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.