Individual provider Active NPI

Lawrence Oliver Sims, DDS

  • Dentist
  • Atlanta, GA
National Provider Identifier
1215191564
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8384 Issued in GA
Practice address
8613 Roswell Rd
Suite 100
Atlanta, GA 30350-1896
Phone
(770) 998-8089
Fax
(678) 669-1838
NPI assigned
Jul 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8384 GA Primary
Prosthodontics 1223P0700X 008384 GA

Addresses

Primary practice location

8613 Roswell Rd
Suite 100
Atlanta, GA 30350-1896

Mailing address

7000 Peachtree Dunwoody Rd.
Buliding 12 Suite 100
Sandy Springs, GA 30328
Phone (770) 286-9552

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
I20160606001695 GA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 0941590855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8384GAMDDentist
008384GAMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1215191564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 PEACHTREE DUNWOODY RD.",
            "address_2": "BULIDING 12 SUITE 100",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "770-286-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8613 ROSWELL RD",
            "address_2": "SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303501896",
            "telephone_number": "770-998-8089",
            "fax_number": "678-669-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "LAWRENCE",
        "middle_name": "OLIVER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-16",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "8384",
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "GA",
            "license": "008384",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.