Active NPI
Bijan Jamshidi
- Dentist
- Atlanta, GA
National Provider Identifier
1922797687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN123549
- Practice address
- 10 10TH St NE Ste 100
Atlanta, GA 30309-3835 - Phone
- (404) 892-2337
- NPI assigned
- May 8, 2023
- Last updated
- Aug 2, 2024
- Sex
- Male
- 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 | DN123549 | GA | Primary |
Addresses
Primary practice location
10 10TH St NE Ste 100
Atlanta, GA 30309-3835
Mailing address
127 Coveshire Place
Madison, AL 35758
Other practice location 1
127 Coveshire Place
Madison, AL 35758
Phone (256) 714-8104
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 |
|---|---|---|---|
| DN123549 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson Ferry Dentistry, PC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1922797687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 COVESHIRE PLACE",
"city": "MADISON",
"state": "AL",
"postal_code": "35758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 10TH ST NE STE 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303093835",
"telephone_number": "404-892-2337"
}
],
"practiceLocations": [
{
"address_1": "127 Coveshire Place",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "AL",
"postal_code": "35758",
"country_code": "US",
"telephone_number": "256-714-8104",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAMSHIDI",
"first_name": "BIJAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-08",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN123549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.