Parkside Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PARKSIDE DENTAL

Practice address

5920 Roswell Rd Ste A201
Sandy Springs, GA 30328-4923

Phone

(404) 252-4700

NPI assigned

Nov 30, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Cyrus Shokoohi DMD, DMD

Title

Ceo

Phone

(404) 252-4700

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cyrus Shokoohi, DMD

  • General Practice Dentistry
  • Sandy Springs, GA
  • NPI 1801012844
  NPD (past)

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543536000000",
    "number": "1932679008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 ROSWELL RD STE A201",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303284923",
            "telephone_number": "404-252-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 ROSWELL RD STE A201",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303284923",
            "telephone_number": "404-252-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSIDE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-30",
        "last_updated": "2018-11-30",
        "status": "A",
        "authorized_official_last_name": "SHOKOOHI DMD",
        "authorized_official_first_name": "CYRUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-252-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Pams
• Paragon Infusion Care, Inc
• Paragon Infusion Care, Inc
• Arjun Parikh
• Theresa R Parker
• Rachel Pass, M.ED, CCC-SLP
• Aeshaben Patel
• Easha A Patel
• Ektaa Patel
• Himani P Patel, DMD

• Dental Clinic/Center in Sandy Springs, GA
• Providers in Sandy Springs, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; 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.