Active NPI
Lori E. Paschal, DDS
- Pediatric Dentistry
- Donalsonville, GA
National Provider Identifier
1831254663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN011741
- Practice address
- 100 W Chason St
Donalsonville, GA 39845-1284 - Phone
- (404) 971-2811
- NPI assigned
- Dec 22, 2006
- Last updated
- Nov 28, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN011741 | GA | Primary |
Addresses
Primary practice location
100 W Chason St
Donalsonville, GA 39845-1284
Mailing address
PO Box 519
Fairburn, GA 30213-0519
Phone (404) 971-2811
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00753871 | Medicaid | GA | |
| DN011741 | Other | GA | STATE DENTAL LICENSE |
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 |
|---|---|---|---|
| DN011741 | GA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354060800000",
"number": "1831254663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 519",
"city": "FAIRBURN",
"state": "GA",
"postal_code": "302130519",
"telephone_number": "404-971-2811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W CHASON ST",
"city": "DONALSONVILLE",
"state": "GA",
"postal_code": "398451284",
"telephone_number": "404-971-2811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASCHAL",
"first_name": "LORI",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2012-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "GA",
"license": "DN011741",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00753871",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE DENTAL LICENSE",
"identifier": "DN011741",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Donalsonville, GA
- Kristin M Middleton, OT
- Joshua Adam Miller, PHARM. D
- Jack Harold Mills Sr., R.PH
- National Home Care Corporation
- Jessica Nunez, MD
- Gena Susan Peterson, FNP-C
- Pugh's Personal Care Home
- Jana K Rego-Heins, LMT
- Roberts Pharmacy Inc (Roberts Pharmacy)
- Roberts Pharmacy Inc (Vital Care of Southwest Georgia, Donalsonville)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.