Active NPI
Li Chou, D.D.S.
- General Practice Dentistry
- Atlanta, GA
National Provider Identifier
1356434641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 012024
- Practice address
- 3206 Shallowford Rd NE
Atlanta, GA 30341-3633 - Phone
- (770) 457-6603
- NPI assigned
- Oct 1, 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 | 012024 | GA | Primary |
Addresses
Primary practice location
3206 Shallowford Rd NE
Atlanta, GA 30341-3633
Mailing address
3206 Shallowford Rd NE
Atlanta, GA 30341-3633
Phone (770) 457-6603
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00935613A | Medicaid | GA |
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 |
|---|---|---|---|
| 012024 | GA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356434641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3206 SHALLOWFORD RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303413633",
"telephone_number": "770-457-6603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3206 SHALLOWFORD RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303413633",
"telephone_number": "770-457-6603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOU",
"first_name": "LI",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "012024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00935613A",
"state": "GA"
}
],
"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 Jul 8, 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.