Alexander Pikus, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013338 Issued in GA

Practice address

4030 Lawrenceville Hwy NW
Lilburn, GA 30047-3011

Phone

(470) 282-0063

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660435200000",
    "number": "1205914280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 SHERINGHAM DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762470",
            "telephone_number": "678-476-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 LAWRENCEVILLE HWY NW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473011",
            "telephone_number": "470-282-0063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 K Mart Plz",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054442",
            "country_code": "US",
            "telephone_number": "803-590-3054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIKUS",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-08-14",
        "certification_date": "2022-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8398",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176589070D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Britannica Peterson
• Hong Huong Thi Pham
• Ngoc Bao Phan, D.O
• Physiotherapy Associates Inc
• Tkeyah Kiana Piankhi
• Aziz A Pirani, MD
• Lauren Kelli Pittman, WHNP-BC
• Saly Pius, R.N
• Platinum Dental Group Lilburn LLC
• Platinum Dental Group Lilburn, LLC

• General Practice Dentistry in Lilburn, GA
• Providers in Lilburn, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2022; 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.