Active NPI
Leonardo Freitas de Araujo
- Orthodontics and Dentofacial Orthopedics Dentistry
- Atlanta, GA
National Provider Identifier
1134953136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 40997
- Practice address
- 8200 Roberts Dr Ste 100
Atlanta, GA 30350-4150 - Phone
- (770) 504-4519
- NPI assigned
- Aug 30, 2024
- Last updated
- Sep 18, 2024
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 40997 | TX | Primary |
Addresses
Primary practice location
8200 Roberts Dr Ste 100
Atlanta, GA 30350-4150
Mailing address
600 Guadalupe St Apt 4613
Austin, TX 78701-3378
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 |
|---|---|---|---|
| 40997 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1134953136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 GUADALUPE ST APT 4613",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787013378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 ROBERTS DR STE 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303504150",
"telephone_number": "770-504-4519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREITAS DE ARAUJO",
"first_name": "LEONARDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-30",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "40997",
"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 Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.