Organization Active NPI

Spotlight Dental Alpharetta

  • Dental Clinic/Center
  • Alpharetta, GA
National Provider Identifier
1114405511
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN011882 Issued in GA
Legal business name
SPOTLIGHT DENTAL ALPHARETTA
Practice address
3180 N Point Pkwy Ste 522
Alpharetta, GA 30005-4569
Phone
(470) 719-5181
NPI assigned
Jul 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Authorized official

Name
Gustave Joseph Peluso, DMD
Title
Owner
Phone
(404) 405-7756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN011882 GA Primary

Addresses

Primary practice location

3180 N Point Pkwy Ste 522
Alpharetta, GA 30005-4569

Mailing address

3180 N Point Pkwy Ste 522
Alpharetta, GA 30005-4569
Phone (470) 719-5181

Other names 1

  • Spotlight Dental Alpharetta Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1114405511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 N POINT PKWY STE 522",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054569",
            "telephone_number": "470-719-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 N POINT PKWY STE 522",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054569",
            "telephone_number": "470-719-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOTLIGHT DENTAL ALPHARETTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A",
        "authorized_official_last_name": "PELUSO",
        "authorized_official_first_name": "GUSTAVE",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-405-7756",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "DN011882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spotlight Dental Alpharetta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 30, 2018; 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.