Individual provider Active NPI

Edward F Sugarman, DDS

  • Periodontics
  • Atlanta, GA
National Provider Identifier
1740209097
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN006919 Issued in GA
Practice address
3280 Howell Mill Rd NW
Suite 221
Atlanta, GA 30327-4111
Phone
(404) 352-3123
Fax
(404) 352-9381
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

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
Periodontics 1223P0300X DN006919 GA Primary

Addresses

Primary practice location

3280 Howell Mill Rd NW
Suite 221
Atlanta, GA 30327-4111

Mailing address

3280 Howell Mill Rd NW
Suite 221
Atlanta, GA 30327-4111
Phone (404) 352-3123

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
DN006919GAMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740209097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 HOWELL MILL RD NW",
            "address_2": "SUITE 221",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274111",
            "telephone_number": "404-352-3123",
            "fax_number": "404-352-9381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 HOWELL MILL RD NW",
            "address_2": "SUITE 221",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274111",
            "telephone_number": "404-352-3123",
            "fax_number": "404-352-9381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGARMAN",
        "first_name": "EDWARD",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "DN006919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

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.

Verify at the official NPI Registry.