Cassandra G. Brackett, D.D.S.,P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

0010117 Issued in GA

Legal business name

CASSANDRA G. BRACKETT, D.D.S.,P.C.

Practice address

3300 Memorial Dr
Suite D-3
Decatur, GA 30032-2700

Phone

(404) 289-3060

Fax

(404) 288-6080

NPI assigned

Oct 7, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Cassandra G. Brackett, D.D.S.NPI 1033244124

Title

Ceo

Phone

(404) 289-3060

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Cassandra Griffith Brackett, D.D.S

  • Oral and Maxillofacial Radiology Dentistry
  • Decatur, GA
  • NPI 1033244124
  NPD (past) Authorized official

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1942535091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 MEMORIAL DR",
            "address_2": "SUITE D-3",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300322700",
            "telephone_number": "404-289-3060",
            "fax_number": "404-288-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 MEMORIAL DR",
            "address_2": "SUITE D-3",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300322700",
            "telephone_number": "404-289-3060",
            "fax_number": "404-288-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASSANDRA G. BRACKETT, D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "BRACKETT",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-289-3060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "0010117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000310318C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Choe Casaday, CNS
• J Casarella, MD
• Jessica Anna Cash, OTR/L
• Michelle Casimir, PSYD
• Cassandra G. Brackett, D.D.S.,P.C.
• Cassandra Gilliam
• Lisa Suzanne Cassani, M.D.
• Megan Lucia Cassidy, DPT
• Arefa Moosajee Cassoobhoy, M.D.
• Craig John Castanet, D.C.

• Dental Clinic/Center in Decatur, GA
• Providers in Decatur, 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 Oct 7, 2009; 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.