Individual provider Active NPI

Candace Latham Lauderdale, D.M.D

  • Dentist
  • Columbus, GA
National Provider Identifier
1386870210
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN013892 Issued in GA
Practice address
6783 Veterans Pkwy
Building 4
Columbus, GA 31909-3254
Phone
(706) 321-3909
NPI assigned
Jun 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN013892 GA Primary
Dentist 122300000X 6174C1 AL

Addresses

Primary practice location

6783 Veterans Pkwy
Building 4
Columbus, GA 31909-3254

Mailing address

6783 Veterans Pkwy
Building 4
Columbus, GA 31909-3254
Phone (706) 321-3909

Other practice location 1

2015 Interstate Dr
Opelika, AL 36801-5415
Phone (334) 203-2740

Other practice location 2

3732 US Highway 431 N
Phenix City, AL 36867-2362
Phone (334) 408-3467

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
6174C1ALMDDentist
DN013892GAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1386870210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6783 VETERANS PKWY",
            "address_2": "BUILDING 4",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319093254",
            "telephone_number": "706-321-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6783 VETERANS PKWY",
            "address_2": "BUILDING 4",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319093254",
            "telephone_number": "706-321-3909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2015 Interstate Dr",
            "address_purpose": "LOCATION",
            "city": "Opelika",
            "state": "AL",
            "postal_code": "368015415",
            "country_code": "US",
            "telephone_number": "334-203-2740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3732 US Highway 431 N",
            "address_purpose": "LOCATION",
            "city": "Phenix City",
            "state": "AL",
            "postal_code": "368672362",
            "country_code": "US",
            "telephone_number": "334-408-3467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAUDERDALE",
        "first_name": "CANDACE",
        "middle_name": "LATHAM",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-05",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013892",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "6174C1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.