Fatemeh Azadeh Paziraei, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN014950 Issued in GA

Practice address

1631 Gordon Highway
Augusta Smiles Youth Dentistry
Augusta, GA 30906

Phone

(706) 790-9302

NPI assigned

Jul 29, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Augusta Smiles Youth Dentistry, PC

  • General Practice Dentistry
  • Augusta, GA
  • NPI 1033184643
  NPD (past)
• Bridgeport River Dental PC

  • General Practice Dentistry
  • Augusta, GA
  • NPI 1346898293
  NPD (past)

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1962810358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 GORDON HWY STE 22",
            "address_2": "AUGUSTA SMILES YOUTH DENTISTRY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309062230",
            "telephone_number": "803-434-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 GORDON HIGHWAY",
            "address_2": "AUGUSTA SMILES YOUTH DENTISTRY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30906",
            "telephone_number": "706-790-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZIRAEI",
        "first_name": "FATEMEH",
        "middle_name": "AZADEH",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-29",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "8439",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN014950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcel Payne, LCSW
• Taylor Robert Payne, MD
• Trevor Sean Payne, D.P.M.
• Zion Payne
• Sheena Lemere Payton, RN, BSN
• Peaceful Living III, LLC
• Peach State Emergency Physicians LLC
• Peachcare Family Chiropractic, LLC
• Peachstate Behavioral Health Services
• Benjamin A Peacock, CRNA

• Dentist in Augusta, GA
• Providers in Augusta, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.