A John Linatoc, DMD, MS, PC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

GA010806 Issued in GA

Practice address

1506 Kingston Hwy SE
Rome, GA 30161-8949

Phone

(706) 295-9792

Fax

(706) 295-9931

NPI assigned

Jan 25, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1467508390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 KINGSTON HWY SE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301618949",
            "telephone_number": "706-295-9792",
            "fax_number": "706-295-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 KINGSTON HWY SE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301618949",
            "telephone_number": "706-295-9792",
            "fax_number": "706-295-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINATOC",
        "first_name": "A",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DMD, MS, PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "GA010806",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "GA010806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "109157",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "39108",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "315105645A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lifesource of North Carolina
• Lifesource Prime Inc
• Mark Douglas Lignell, MD
• Catherine W Lin, D.O.
• Jamie O Lin, DO
• Lincare Inc
• Lincare Inc.
• Cadeara Lynn Lindenfelser, DO
• Lauren Lindsey, DMD
• Sherry Lindsey, RN

• Periodontics in Rome, GA
• Providers in Rome, GA by specialty
• Periodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.