Individual provider Active NPI

Samantha Knight, DMD

  • Dentist
  • Brookhaven, GA
National Provider Identifier
1922466580
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN015379 Issued in GA
Practice address
804 Town Blvd NE Ste 2010
Brookhaven, GA 30319-3147
Phone
(404) 631-6277
NPI assigned
Feb 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN015379 GA Primary

Addresses

Primary practice location

804 Town Blvd NE Ste 2010
Brookhaven, GA 30319-3147

Mailing address

3719 Old Alabama Rd Ste 400-B
Johns Creek, GA 30022-8692
Phone (404) 631-6277

Other practice location 1

3719 Old Alabama Rd Ste 400-B
Johns Creek, GA 30022-8692
Phone (404) 631-6277

Other practice location 2

2405 Satellite Blvd Ste 115
Duluth, GA 30096-9022
Phone (770) 622-5909

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

LicenseStateTypeSpecialty
DN015379GAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Town Dentistry Brookhaven, LLC CurrentSince Nov 5, 2023 Accepting new patients
Town Dentistry of Duluth, LLC PastSince Oct 29, 2023 Accepting new patients
Meadowbrook Family Dentistry Past Accepting new patients

Locations

804 Town Blvd NE
Ste 2010
Brookhaven, GA 30319
Phone (404) 631-6277

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1922466580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3719 OLD ALABAMA RD STE 400-B",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300228692",
            "telephone_number": "404-631-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 TOWN BLVD NE STE 2010",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303193147",
            "telephone_number": "404-631-6277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3719 Old Alabama Rd Ste 400-B",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300228692",
            "country_code": "US",
            "telephone_number": "404-631-6277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2405 Satellite Blvd Ste 115",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300969022",
            "country_code": "US",
            "telephone_number": "770-622-5909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "SAMANTHA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-10",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN015379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.