Individual provider Active NPI

John Hamilton Jacquot, D.D.S.

  • Periodontics
  • Atlanta, GA
National Provider Identifier
1801924774
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DNO13065 Issued in GA
Practice address
3580 Piedmont Rd NE
Suite 120
Atlanta, GA 30305-1506
Phone
(404) 231-1080
Fax
(404) 231-8719
NPI assigned
Mar 1, 2007
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 DNO13065 GA Primary

Addresses

Primary practice location

3580 Piedmont Rd NE
Suite 120
Atlanta, GA 30305-1506

Mailing address

3580 Piedmont Rd NE
Suite 120
Atlanta, GA 30305-1506
Phone (404) 231-1080

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
I20160829001906 GA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8123313210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DNO13065GAMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801924774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3580 PIEDMONT RD NE",
            "address_2": "SUITE 120",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051506",
            "telephone_number": "404-231-1080",
            "fax_number": "404-231-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 PIEDMONT RD NE",
            "address_2": "SUITE 120",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051506",
            "telephone_number": "404-231-1080",
            "fax_number": "404-231-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUOT",
        "first_name": "JOHN",
        "middle_name": "HAMILTON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "DNO13065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.