Individual provider Active NPI

Zachary Rifkin

  • Dentist
  • Sandy Springs, GA
National Provider Identifier
1932558004
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN015622 Issued in GA
Practice address
1000 Abernathy Rd Ste 330
Sandy Springs, GA 30328-5613
Phone
(770) 393-0800
Fax
(888) 958-0213
NPI assigned
Jun 8, 2016
Last updated
Jun 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN015622 GA Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

1000 Abernathy Rd Ste 330
Sandy Springs, GA 30328-5613

Mailing address

1000 Abernathy Rd Ste 330
Sandy Springs, GA 30328-5613
Phone (404) 502-1010

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220503002055 GA Order and Referring Only - DentistPractitioner - Dentist 6709273147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN015622GAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Susan G. Rifkin, DDS and Associates PC CurrentSince Jul 3, 2022 Accepting new patients

Locations

1000 Abernathy Rd
Ste 330
Sandy Springs, GA 30328
Phone (404) 441-8917

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": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1932558004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ABERNATHY RD STE 330",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303285613",
            "telephone_number": "404-502-1010",
            "fax_number": "888-958-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ABERNATHY RD STE 330",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303285613",
            "telephone_number": "770-393-0800",
            "fax_number": "888-958-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIFKIN",
        "first_name": "ZACHARY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-08",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN015622",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

Verify at the official NPI Registry.