Active NPI
Alton R Lott Jr., DMD
- General Practice Dentistry
- Bossier City, LA
National Provider Identifier
1487746590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2408
- Practice address
- 3002 Shed Rd
Bossier City, LA 71111 - Phone
- (318) 742-8447
- Fax
- (318) 742-8456
- NPI assigned
- Sep 28, 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 | 2408 | LA | Primary |
Addresses
Primary practice location
3002 Shed Rd
Bossier City, LA 71111
Mailing address
3002 Shed Rd
Bossier City, LA 71111
Phone (318) 742-8447
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 |
|---|---|---|---|
| 2408 | LA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487746590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3002 SHED RD",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "71111",
"telephone_number": "318-742-8447",
"fax_number": "318-742-8456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3002 SHED RD",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "71111",
"telephone_number": "318-742-8447",
"fax_number": "318-742-8456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOTT",
"first_name": "ALTON",
"middle_name": "R",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "2408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bossier City, LA
- Jennifer Allen Long, R.N.C.,W.H.N.P.
- Tacita Long
- Daniel Longino
- Gracie Lane Longmire
- Ezekiel Arthur Lopez, PA-C
- Joseph Richard Lott, DDS
- Lora Lott
- Louise S Davis Residential Facilities, LLC (Briarwood Group Home)
- Louise S Davis Residential Facilities, LLC (Martin Community Home)
- Louise S Davis Residential Facilities, LLC (Morrison Community Home)
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.