Individual provider Active NPI

Claudia Urrego-Torres, DMD

  • Dentist
  • Lilburn, GA
National Provider Identifier
1639414030
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN014493 Issued in GA
Practice address
4574 Lawrenceville Hwy NW
Suite 120
Lilburn, GA 30047-3618
Phone
(770) 921-9000
NPI assigned
Dec 11, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN014493 GA Primary

Addresses

Primary practice location

4574 Lawrenceville Hwy NW
Suite 120
Lilburn, GA 30047-3618

Mailing address

220 Fieldsborn CT NE
Atlanta, GA 30328-1000
Phone (215) 688-6537

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
DN014493GAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1639414030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 FIELDSBORN CT NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303281000",
            "telephone_number": "215-688-6537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4574 LAWRENCEVILLE HWY NW",
            "address_2": "SUITE 120",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473618",
            "telephone_number": "770-921-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URREGO-TORRES",
        "first_name": "CLAUDIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-11",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN014493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lilburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.