Active NPI
David O Lofters, D.D.S.
- Dentist
- Atlanta, GA
National Provider Identifier
1952340929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN012798
- Practice address
- 4300 Paces Ferry Rd SE Ste 333
Atlanta, GA 30339-5729 - Phone
- (404) 263-0390
- Fax
- (678) 293-6227
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN012798 | GA | |
| Dentist | 122300000X | DN012798 | GA | Primary |
Addresses
Primary practice location
4300 Paces Ferry Rd SE Ste 333
Atlanta, GA 30339-5729
Mailing address
4300 Paces Ferry Rd SE Ste 333
Atlanta, GA 30339-5729
Phone (404) 263-0390
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 |
|---|---|---|---|
| DN012798 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pickron Orthodontic Care | Orthodontics and Dentofacial Orthopedics | 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 and National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Norcross, GA
- NPI 1407962269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1952340929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 PACES FERRY RD SE STE 333",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303395729",
"telephone_number": "404-263-0390",
"fax_number": "678-293-6227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 PACES FERRY RD SE STE 333",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303395729",
"telephone_number": "404-263-0390",
"fax_number": "678-293-6227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOFTERS",
"first_name": "DAVID",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "GA",
"license": "DN012798",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN012798",
"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 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.