NPIMap

Organization Active NPI

Lida Paez, DMD, LLC

  • Dentist
  • Atlanta, GA
National Provider Identifier
1386170363
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN014786 Issued in GA
Legal business name
LIDA PAEZ, DMD, LLC
Practice address
3640 Chamblee Tucker Rd
Atlanta, GA 30341-4418
Phone
(770) 938-0232
Fax
(770) 938-0681
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Dr. Lida Cristina Paez, DMD
Title
Owner
Phone
(770) 938-0232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DN014786 GA Primary

Addresses

Primary practice location

3640 Chamblee Tucker Rd
Atlanta, GA 30341-4418

Mailing address

3640 Chamblee Tucker Rd
Atlanta, GA 30341-4418
Phone (770) 938-0232

National Provider Directory

National Provider Directory

Locations

3640 Chamblee Tucker Rd
Chamblee, GA 30341
Phone (770) 938-0232

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1386170363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 CHAMBLEE TUCKER RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414418",
            "telephone_number": "770-938-0232",
            "fax_number": "770-938-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 CHAMBLEE TUCKER RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414418",
            "telephone_number": "770-938-0232",
            "fax_number": "770-938-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIDA PAEZ, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "PAEZ",
        "authorized_official_first_name": "LIDA",
        "authorized_official_middle_name": "CRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-938-0232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN014786",
            "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 May 11, 2017; 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.