Active NPI
Anu Kartha, DDS
- Dentist
- Marietta, GA
National Provider Identifier
1881904472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN014838
- Practice address
- 1691 Grist Mill Dr
Marietta, GA 30062 - Phone
- (217) 819-6363
- NPI assigned
- Oct 15, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | DN014838 | GA | Primary |
Addresses
Primary practice location
1691 Grist Mill Dr
Marietta, GA 30062
Mailing address
1691 Grist Mill Dr
Marietta, GA 30062-3863
Phone (217) 819-6363
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: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160128001060 | GA | Order and Referring Only - Oral Surgery | 8527361385 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN014838 | GA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415232000000",
"number": "1881904472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1691 GRIST MILL DR",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300623863",
"telephone_number": "217-819-6363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1691 GRIST MILL DR",
"city": "MARIETTA",
"state": "GA",
"postal_code": "30062",
"telephone_number": "217-819-6363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARTHA",
"first_name": "ANU",
"name_prefix": "Ms.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-15",
"last_updated": "2014-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN014838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.