Individual provider Active NPI

Mohammed Nazmul Huq, D.D.S

  • General Practice Dentistry
  • Lithia Springs, GA
National Provider Identifier
1346466612
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN012722 Issued in GA
Practice address
3383 Veterans Memorial Hwy
Lithia Springs, GA 30122-1450
Phone
(770) 732-9222
Fax
(770) 732-9778
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN012722 GA Primary

Addresses

Primary practice location

3383 Veterans Memorial Hwy
Lithia Springs, GA 30122-1450

Mailing address

2106 Brodick LN
Lithia Springs, GA 30122-6892
Phone (404) 933-3592

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

LicenseStateTypeSpecialty
DN012722GAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1346466612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 BRODICK LN",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301226892",
            "telephone_number": "404-933-3592",
            "fax_number": "770-732-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3383 VETERANS MEMORIAL HWY",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301221450",
            "telephone_number": "770-732-9222",
            "fax_number": "770-732-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUQ",
        "first_name": "MOHAMMED",
        "middle_name": "NAZMUL",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithia Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.