Individual provider Active NPI

Alan Jay Stein, DDS

  • General Practice Dentistry
  • Decatur, GA
National Provider Identifier
1154440352
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN009293 Issued in GA
Practice address
2450 Lawrenceville Hwy
Suite 100
Decatur, GA 30033-3226
Phone
(404) 329-0000
Fax
(404) 329-8900
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN009293 GA Primary

Addresses

Primary practice location

2450 Lawrenceville Hwy
Suite 100
Decatur, GA 30033-3226

Mailing address

2450 Lawrenceville Hwy
Suite 100
Decatur, GA 30033-3226
Phone (404) 329-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150713001064 GA Order and Referring Only - DentistPractitioner - Dentist 4082926563

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN009293GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Alan J Stein DDS & David B Frankel DMD PC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154440352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 LAWRENCEVILLE HWY",
            "address_2": "SUITE 100",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333226",
            "telephone_number": "404-329-0000",
            "fax_number": "404-329-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 LAWRENCEVILLE HWY",
            "address_2": "SUITE 100",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333226",
            "telephone_number": "404-329-0000",
            "fax_number": "404-329-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "ALAN",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN009293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.