Individual provider Active NPI

Namratha Arvind Hegde, DDS

  • General Practice Dentistry
  • Marietta, GA
National Provider Identifier
1982275582
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN122474 Issued in GA
Practice address
820 Canton Rd NE Apt 419
Marietta, GA 30060-7265
Phone
(920) 378-8791
NPI assigned
Jul 5, 2021
Last updated
Aug 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN122474 GA Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

820 Canton Rd NE Apt 419
Marietta, GA 30060-7265

Mailing address

820 Canton Rd NE Apt 419
Marietta, GA 30060-7265
Phone (920) 378-8791

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
DN122474GAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1625443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1982275582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 CANTON RD NE APT 419",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607265",
            "telephone_number": "920-378-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 CANTON RD NE APT 419",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607265",
            "telephone_number": "920-378-8791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGDE",
        "first_name": "NAMRATHA ARVIND",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-05",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN122474",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.