Active NPI
Shawn P Lottier, DDS, PC
- General Practice Dentistry
- Atlanta, GA
National Provider Identifier
1346322708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12470
- Practice address
- 3400 Peachtree Rd NE
Suite 1125
Atlanta, GA 30326 - Phone
- (404) 365-0211
- Fax
- (404) 420-2642
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12470 | GA | Primary |
Addresses
Primary practice location
3400 Peachtree Rd NE
Suite 1125
Atlanta, GA 30326
Mailing address
3400 Peachtree Rd NE
#1125
Atlanta, GA 30326
Phone (404) 365-0211
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12470 | GA | MD | Addiction Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385078400000",
"number": "1346322708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 PEACHTREE RD NE",
"address_2": "#1125",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30326",
"telephone_number": "404-365-0211",
"fax_number": "404-420-2642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 PEACHTREE RD NE",
"address_2": "SUITE 1125",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30326",
"telephone_number": "404-365-0211",
"fax_number": "404-420-2642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOTTIER",
"first_name": "SHAWN",
"middle_name": "P",
"name_prefix": "Mr.",
"credential": "DDS, PC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2013-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "12470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.