Individual provider Active NPI

Dimitrios Arfanakis, D.M.D.

  • Dentist
  • Douglasville, GA
National Provider Identifier
1962556357
Registry record updated Sep 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN012960 Issued in GA
Practice address
5897 Stewart Pkwy
Douglasville, GA 30135-2373
Phone
(770) 949-1821
NPI assigned
Jan 22, 2007
Last updated
Sep 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN012960 GA Primary

Addresses

Primary practice location

5897 Stewart Pkwy
Douglasville, GA 30135-2373

Mailing address

5897 Stewart Parkway
Douglasville, GA 30135
Phone (770) 949-1821

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
DN012960GAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas Dental Care LLC General Practice CurrentSince Dec 13, 2022 Accepting new patients

Locations

3668 Highway 5
Douglasville, GA 30135

5897 Stewart Pkwy
Douglasville, GA 30135
Phone (770) 949-1821

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664064000000",
    "number": "1962556357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5897 STEWART PARKWAY",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "30135",
            "telephone_number": "770-949-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5897 STEWART PKWY",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301352373",
            "telephone_number": "770-949-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARFANAKIS",
        "first_name": "DIMITRIOS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2022-09-25",
        "certification_date": "2022-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN012960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2022; 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.