Lara Bachour, DMD, MDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN123592 Issued in GA

Practice address

2000 Riverside Pkwy
Lawrenceville, GA 30043-5926

Phone

(678) 253-2897

NPI assigned

Jun 22, 2022

Last updated

Dec 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Premier Endodontics, LLC

  • Endodontics
  • Alpharetta, GA
  • NPI 1902761968
  NPD Authorized official

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1295466928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LEAFWING CT",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054357",
            "telephone_number": "614-440-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 RIVERSIDE PKWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435926",
            "telephone_number": "678-253-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHOUR",
        "first_name": "LARA",
        "name_prefix": "Dr.",
        "credential": "DMD, MDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DA27280",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "GA",
            "license": "DN123592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barinua Babaa
• Fareeda Babalakin, MD
• Maham Babar, MBBS
• Jamiu O Babatunde, RBT
• Tehzeeb Babwani
• Back 2 Life Wellness Studios
• Erik Badel
• Daniel Joseph Badia, DO
• Michele Lea Bagby
• Eric J Baggett, R.PH.

• Endodontics in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Endodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.

Verify at the official NPI Registry.