LRDJ LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

DN014757 Issued in GA

Legal business name

LRDJ LLC

Practice address

790 Huff Rd NW Apt 4055
Atlanta, GA 30318-4373

Phone

(301) 674-8761

NPI assigned

Feb 27, 2017

Last updated

Feb 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Julian Stewart, D.D.SNPI 1144530841

Title

Orthodontist/Ceo

Phone

(301) 674-8761

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julian Scott Stewart, D.D.S

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Forest Park, GA
  • NPI 1144530841
  Authorized official Same address or phone

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1578003349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CARRIAGE OAKS DR",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302901684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 HUFF RD NW APT 4055",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303184373",
            "telephone_number": "301-674-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LRDJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_title_or_position": "ORTHODONTIST/CEO",
        "authorized_official_telephone_number": "301-674-8761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "GA",
            "license": "DN014757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lourdes Lozano Vargas, M.D.
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• Annabel Lu
• Ching-Liang Lu, MD

• Preferred Provider Organization in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Preferred Provider Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.