Individual provider Active NPI

Alicia Deann Frank, DDS

  • Dentist
  • Peachtree City, GA
National Provider Identifier
1982697660
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN015359 Issued in GA
Practice address
260 S Peachtree Pkwy
Peachtree City, GA 30269-1700
Phone
(770) 486-9400
NPI assigned
Aug 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12134 MD
Dentist 122300000X 24199 TX
Dentist 122300000X DN015359 GA Primary

Addresses

Primary practice location

260 S Peachtree Pkwy
Peachtree City, GA 30269-1700

Mailing address

260 S Peachtree Pkwy
Peachtree City, GA 30269-1700
Phone (770) 486-9400

Other names 1

  • Dr. Alicia Deann Guth Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@braelinndentistry.com

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
DN015359GAMDDentist
12134MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Coweta Dental Sleep Therapy LLC PastSince Apr 26, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1982697660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 S PEACHTREE PKWY",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691700",
            "telephone_number": "770-486-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 S PEACHTREE PKWY",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691700",
            "telephone_number": "770-486-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANK",
        "first_name": "ALICIA",
        "middle_name": "DEANN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-26",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "12134",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "24199",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN015359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@braelinndentistry.com",
            "affiliation": "N",
            "address_1": "260 S Peachtree Pkwy",
            "city": "Peachtree City",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302691700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "GUTH",
            "middle_name": "DEANN",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.