Individual provider Active NPI

Alison Stpaul, DMD, MS

  • Endodontics
  • McDonough, GA
National Provider Identifier
1275891541
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN015251 Issued in GA
Practice address
1705 Hwy 20 W
Suite 200
McDonough, GA 30253
Phone
(770) 954-8672
Fax
(770) 954-0074
NPI assigned
Apr 24, 2012
Last updated
Feb 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X DN015251 GA Primary

Addresses

Primary practice location

1705 Hwy 20 W
Suite 200
McDonough, GA 30253

Mailing address

1705 Ga 20
Suite 200
McDonough, GA 30253
Phone (770) 954-0072

Other names 1

  • Dr. Alison St. Paul Professional name

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
Master of Science

State licenses

LicenseStateTypeSpecialty
DN015251GAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Endodontic Group PC Endodontics CurrentSince Jun 1, 2021 Accepting new patients
Soh of Georgia Ozf, PC Endodontics CurrentSince Aug 13, 2023 Accepting new patients

Locations

1705 Highway 20 W
Ste 200
McDonough, GA 30253
Phone (770) 954-8672

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1275891541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 GA 20",
            "address_2": "SUITE 200",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "30253",
            "telephone_number": "770-954-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 HWY 20 W",
            "address_2": "SUITE 200",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "30253",
            "telephone_number": "770-954-8672",
            "fax_number": "770-954-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STPAUL",
        "first_name": "ALISON",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "GA",
            "license": "DN015251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISON",
            "last_name": "ST. PAUL",
            "prefix": "DR.",
            "credential": "DMD, MS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.