Individual provider Active NPI

Lorenzo Minniti, D.D.S.

  • General Practice Dentistry
  • Alpharetta, GA
National Provider Identifier
1669563540
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN012918 Issued in GA
Practice address
270 Saint Claire Dr
Suite 105
Alpharetta, GA 30004-5728
Phone
(678) 990-8590
Fax
(678) 990-8594
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN012918 GA Primary

Addresses

Primary practice location

270 Saint Claire Dr
Suite 105
Alpharetta, GA 30004-5728

Mailing address

45 Wing Mill Rd
Atlanta, GA 30350-3139
Phone (770) 393-9360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160318001813 GA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6002113073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN012918GAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669563540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 WING MILL RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303503139",
            "telephone_number": "770-393-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 SAINT CLAIRE DR",
            "address_2": "SUITE 105",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300045728",
            "telephone_number": "678-990-8590",
            "fax_number": "678-990-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINNITI",
        "first_name": "LORENZO",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.