Active NPI
Lawrence Bernard Schlachter, D.D.S M.D. J.D.
- Surgery Physician
- Roswell, GA
National Provider Identifier
1871858308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 018736
- Practice address
- 540 Stonemoor Cir
Roswell, GA 30075-2279 - Phone
- (770) 640-1702
- Fax
- (404) 506-9581
- NPI assigned
- Jul 11, 2012
- Last updated
- Jul 11, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 018736 | GA | Primary |
Addresses
Primary practice location
540 Stonemoor Cir
Roswell, GA 30075-2279
Mailing address
540 Stonemoor Cir
Roswell, GA 30075-2279
Phone (770) 640-1702
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018736 | Other | GA | PHYSICIAN |
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)
- Enrolled
- Credentials
- Juris Doctor, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18736 | GA | MD | Pharmacist |
| 018736 | GA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brunswick Pain Treatment Center, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ambulatory Surgical Clinic/Center
- Brunswick, GA
- NPI 1154422541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341964800000",
"number": "1871858308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 STONEMOOR CIR",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300752279",
"telephone_number": "770-640-1702",
"fax_number": "404-506-9581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 STONEMOOR CIR",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300752279",
"telephone_number": "770-640-1702",
"fax_number": "404-506-9581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHLACHTER",
"first_name": "LAWRENCE",
"middle_name": "BERNARD",
"name_prefix": "Dr.",
"credential": "D.D.S M.D. J.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-11",
"last_updated": "2012-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "018736",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN",
"identifier": "018736",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.