Individual provider Active NPI

Afsaneh Hamzehpour, D.M.D

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1972630598
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
011548 Issued in GA
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, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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 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

LicenseStateTypeSpecialty
011548GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Dental Care Inc CurrentSince Dec 17, 2012 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.

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.

Verify at the official NPI Registry.