Active NPI
Suhasini Arun, DMD
- Dentist
- Marietta, GA
National Provider Identifier
1942724067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN015478
- Practice address
- 4811 Lower Roswell Rd Ste 108
Marietta, GA 30068-4345 - Phone
- (850) 380-7808
- NPI assigned
- Jul 31, 2017
- Sex
- Female
- Sole proprietor
- No
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 | DN015478 | GA | Primary |
Addresses
Primary practice location
4811 Lower Roswell Rd Ste 108
Marietta, GA 30068-4345
Mailing address
4811 Lower Roswell Rd Ste 108
Marietta, GA 30068-4345
Phone (850) 380-7808
Other practice location 1
1815 Old 41 Hwy NW Ste 310
Kennesaw, GA 30152-4427
Phone (770) 927-7751
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dr.jburke@myemergencydental.com |
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 |
|---|---|---|---|
| DN015478 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Emergency Dental Ga LLC | Current | Accepting new patients |
Locations
4811 Lower Roswell Rd
Ste 108
Marietta, GA 30068
Phone (470) 523-8118
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Marietta, GA
- NPI 1427659028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605052800000",
"number": "1942724067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4811 LOWER ROSWELL RD STE 108",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300684345",
"telephone_number": "850-380-7808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4811 LOWER ROSWELL RD STE 108",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300684345",
"telephone_number": "850-380-7808"
}
],
"practiceLocations": [
{
"address_1": "1815 Old 41 Hwy NW Ste 310",
"address_purpose": "LOCATION",
"city": "Kennesaw",
"state": "GA",
"postal_code": "301524427",
"country_code": "US",
"telephone_number": "770-927-7751",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARUN",
"first_name": "SUHASINI",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-31",
"last_updated": "2020-11-11",
"certification_date": "2020-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN015478",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dr.jburke@myemergencydental.com",
"affiliation": "N",
"address_1": "4811 Lower Roswell Rd Ste 108",
"city": "Marietta",
"state": "GA",
"country_code": "US",
"postal_code": "300684345",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.