Active NPI
Ladi Doonquah, MD
- Oral & Maxillofacial Surgery (D.M.D.)
- Decatur, GA
National Provider Identifier
1124453337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 40898
- Practice address
- 3660 Flat Shoals Rd Ste 100
Decatur, GA 30034-1649 - Phone
- (876) 968-3130
- NPI assigned
- Sep 6, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 40898 | GA | Primary |
Addresses
Primary practice location
3660 Flat Shoals Rd Ste 100
Decatur, GA 30034-1649
Mailing address
3660 Flat Shoals Rd Ste 100
Decatur, GA 30034-1649
Phone (876) 968-3130
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40898 | GA | MD | Oral & Maxillofacial Surgery (D.M.D.) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378425600000",
"number": "1124453337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3660 FLAT SHOALS RD STE 100",
"city": "DECATUR",
"state": "GA",
"postal_code": "300341649",
"telephone_number": "876-968-3130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3660 FLAT SHOALS RD STE 100",
"city": "DECATUR",
"state": "GA",
"postal_code": "300341649",
"telephone_number": "876-968-3130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOONQUAH",
"first_name": "LADI",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-06",
"last_updated": "2013-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "GA",
"license": "40898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.