Active NPI
Crystal Nicole Tschantz, DDS
- General Practice Dentistry
- Lilburn, GA
National Provider Identifier
1760873343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN014926
- Practice address
- 4030 Lawrenceville Hwy NW
Lilburn, GA 30047-3011 - Phone
- (678) 392-2385
- NPI assigned
- Feb 18, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN014926 | GA | |
| General Practice Dentistry | 1223G0001X | DN014926 | GA | Primary |
Addresses
Primary practice location
4030 Lawrenceville Hwy NW
Lilburn, GA 30047-3011
Mailing address
231 Sunset Hills Drive
Norcross, GA 30071
Phone (706) 619-6305
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 |
|---|---|---|---|
| DN014926 | GA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503273600000",
"number": "1760873343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 SUNSET HILLS DRIVE",
"city": "NORCROSS",
"state": "GA",
"postal_code": "30071",
"telephone_number": "706-619-6305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4030 LAWRENCEVILLE HWY NW",
"city": "LILBURN",
"state": "GA",
"postal_code": "300473011",
"telephone_number": "678-392-2385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSCHANTZ",
"first_name": "CRYSTAL",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-18",
"last_updated": "2017-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN014926",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN014926",
"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 Aug 21, 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.