Active NPI
Dimitrios Arfanakis, D.M.D.
- Dentist
- Douglasville, GA
National Provider Identifier
1962556357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN012960
- Practice address
- 5897 Stewart Pkwy
Douglasville, GA 30135-2373 - Phone
- (770) 949-1821
- NPI assigned
- Jan 22, 2007
- Last updated
- Sep 25, 2022
- Sex
- Male
- 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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| DN012960 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Douglas Dental Care LLC | General Practice | Current | 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.
-
- General Practice Dentistry
- Douglasville, GA
- NPI 1982971057
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.