Individual provider Active NPI

Liudmila Poznyak, DMD

  • General Practice Dentistry
  • Suwanee, GA
National Provider Identifier
1952962854
Registry record updated Jun 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN015873 Issued in GA
Practice address
4245 Johns Creek Pkwy Ste C
Suwanee, GA 30024-9122
Phone
(678) 274-6976
NPI assigned
Jun 22, 2019
Last updated
Jun 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN015873 GA Primary

Addresses

Primary practice location

4245 Johns Creek Pkwy Ste C
Suwanee, GA 30024-9122

Mailing address

4245 Johns Creek Pkwy Ste C
Suwanee, GA 30024-9122
Phone (678) 274-6976

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

LicenseStateTypeSpecialty
DN015873GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
A1 Dental Current 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": "1561161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561161600000",
    "number": "1952962854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 JOHNS CREEK PKWY STE C",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300249122",
            "telephone_number": "678-274-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 JOHNS CREEK PKWY STE C",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300249122",
            "telephone_number": "678-274-6976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POZNYAK",
        "first_name": "LIUDMILA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-22",
        "last_updated": "2019-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2019; 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.