Organization Active NPI

Minniti Dentistry, PC

  • General Practice Dentistry
  • Alpharetta, GA
National Provider Identifier
1073851572
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MINNITI DENTISTRY, PC
Practice address
270 Saint Claire Dr
Suites 104-105
Alpharetta, GA 30004-5728
Phone
(678) 990-8590
Fax
(678) 990-8594
NPI assigned
Jan 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Authorized official

Name
Dr. Lorenzo Minniti, D.D.S.
Title
Dentist
Phone
(678) 990-8590

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X

Addresses

Primary practice location

270 Saint Claire Dr
Suites 104-105
Alpharetta, GA 30004-5728

Mailing address

270 Saint Claire Dr
Suites 104-105
Alpharetta, GA 30004-5728
Phone (678) 990-8590

Other identifiers 1

IdentifierTypeStateIssuer
58879DMMedicaidGA

National Provider Directory

National Provider Directory

Locations

270 Saint Claire Dr
#104105
Alpharetta, GA 30004
Phone (678) 990-8590

NPI Registry JSON

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1073851572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 SAINT CLAIRE DR",
            "address_2": "SUITES 104-105",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300045728",
            "telephone_number": "678-990-8590",
            "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": "SUITES 104-105",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300045728",
            "telephone_number": "678-990-8590",
            "fax_number": "678-990-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNITI DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "MINNITI",
        "authorized_official_first_name": "LORENZO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "678-990-8590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58879DM",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.