Active NPI
Destiny Murray Isbell, DMD
- Dentist
- Acworth, GA
National Provider Identifier
1871932046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN014613
- Practice address
- 3466 Cobb Pkwy NW
Acworth, GA 30101-5765 - Phone
- (770) 203-1711
- NPI assigned
- Jun 20, 2013
- 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 | DN014613 | GA | Primary |
Addresses
Primary practice location
3466 Cobb Pkwy NW
Acworth, GA 30101-5765
Mailing address
3644 Cobb Parkway Suite 170
Acworth, GA 30101
Phone (770) 203-1711
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 |
|---|---|---|---|
| DN014613 | GA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576627200000",
"number": "1871932046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3644 COBB PARKWAY SUITE 170",
"city": "ACWORTH",
"state": "GA",
"postal_code": "30101",
"telephone_number": "770-203-1711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3466 COBB PKWY NW",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301015765",
"telephone_number": "770-203-1711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISBELL",
"first_name": "DESTINY",
"middle_name": "MURRAY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-20",
"last_updated": "2019-12-18",
"certification_date": "2019-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN014613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Acworth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.