Petula Hom-Minniti, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN012900 Issued in GA

Practice address

270 Saint Claire Dr
Suite 104
Alpharetta, GA 30004-5728

Phone

(678) 990-8592

Fax

(678) 990-8594

NPI assigned

Jan 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1033264742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 SAINT CLAIRE DR",
            "address_2": "SUITE 104",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300045728",
            "telephone_number": "678-990-8592",
            "fax_number": "678-990-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 SAINT CLAIRE DR",
            "address_2": "SUITE 104",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300045728",
            "telephone_number": "678-990-8592",
            "fax_number": "678-990-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOM-MINNITI",
        "first_name": "PETULA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN012900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9179479",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100300",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1765417",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Hollub, DPT
• Lelana Holmes
• Susan Lanett Holmes
• Carla C Holt, RN NP
• Zachary Stephen Holub, RN, CRNA
• Home Infusion Solutions LLC
• Honeybee Pediatric Dentistry PC
• Diane Mary Hood, RD,CDE, ACSM CES
• Delorian Hooper
• Hope 12 12 LLC

• Pediatric Dentistry in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.