Active NPI
John Trapp
- Periodontics
- Atlanta, GA
National Provider Identifier
1104913953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 009856
- Practice address
- 13 Corporate Square
Suite 120
Atlanta, GA 30329 - Phone
- (678) 836-2120
- Fax
- (770) 441-0299
- NPI assigned
- Oct 5, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 009856 | GA | Primary |
Addresses
Primary practice location
13 Corporate Square
Suite 120
Atlanta, GA 30329
Mailing address
15705 Canterbury Chase
Alpharetta, GA 30004-8029
Phone (404) 275-5557
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
| License | State | Type | Specialty |
|---|---|---|---|
| 009856 | GA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104913953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15705 CANTERBURY CHASE",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300048029",
"telephone_number": "404-275-5557",
"fax_number": "770-441-0299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 CORPORATE SQUARE",
"address_2": "SUITE 120",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30329",
"telephone_number": "678-836-2120",
"fax_number": "770-441-0299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAPP",
"first_name": "JOHN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "GA",
"license": "009856",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.