Active NPI
Afsaneh Hamzehpour, D.M.D
- General Practice Dentistry
- Atlanta, GA
National Provider Identifier
1972630598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 011548
- Practice address
- 5025 Winters Chapel Rd Ste F
Atlanta, GA 30360-1700 - Phone
- (770) 181-7100
- Fax
- (770) 817-1006
- NPI assigned
- Feb 28, 2007
- Last updated
- Jan 22, 2015
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 011548 | GA | Primary |
Addresses
Primary practice location
5025 Winters Chapel Rd Ste F
Atlanta, GA 30360-1700
Mailing address
1015 Westwell Run
Alpharetta, GA 30022-5893
Phone (770) 817-1007
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011548 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Dental Care Inc | Current | Accepting new patients |
Locations
5025 Winters Chapel Rd
Ste F
Atlanta, GA 30360
Phone (770) 817-1007
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.
-
- Dental Clinic/Center
- Atlanta, GA
- NPI 1578809919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421884800000",
"number": "1972630598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 WESTWELL RUN",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300225893",
"telephone_number": "770-817-1007",
"fax_number": "770-817-1006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5025 WINTERS CHAPEL RD STE F",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303601700",
"telephone_number": "770-181-7100",
"fax_number": "770-817-1006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMZEHPOUR",
"first_name": "AFSANEH",
"name_prefix": "Mrs.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2015-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "011548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.