Frank William Maybusher, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN014667 Issued in GA

Practice address

395 Cadeleigh CT
Johns Creek, GA 30005-8925

Phone

(480) 544-4491

NPI assigned

Aug 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1871607309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 CADELEIGH CT",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300058925",
            "telephone_number": "480-544-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 CADELEIGH CT",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300058925",
            "telephone_number": "480-544-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYBUSHER",
        "first_name": "FRANK",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D6688",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nympha J. Mathurin Meadows, M.ED, BCBA
• Alexis Sierra Mattheus
• Thomas C Matthews, MD
• Max Family Vision, LLC
• Megan May
• Charlene Annette Mayo
• Teresa Angela McAree, P.T.
• Olivia Nannette McBurney
• Jessica Ann McCabe, DO
• Nehemiah J McClendon, M.ED, NCC

• General Practice Dentistry in Johns Creek, GA
• Providers in Johns Creek, 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 Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.