Nathan Shapiro, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

8804 Issued in GA

Practice address

2256 Northlake Pkwy
Suite 215
Tucker, GA 30084-4034

Phone

(770) 493-8500

Fax

(770) 270-1572

NPI assigned

May 14, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1982871406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2256 NORTHLAKE PKWY",
            "address_2": "SUITE 215",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844034",
            "telephone_number": "770-493-8500",
            "fax_number": "770-270-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2256 NORTHLAKE PKWY",
            "address_2": "SUITE 215",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844034",
            "telephone_number": "770-493-8500",
            "fax_number": "770-270-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "8804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisha Sewell
• Azhar S Shah, MSPT
• Shilpa R Shah, MD
• Quentre Shannon, DC
• David Adam Shapiro, DC
• Rita Sharma, MD
• Pinang M Shastri, DO
• Margaret Anne Shaw, RN, PNP-BC
• Shawnquita L. Shedrick, LAPC
• Sheldon Soble DPM

• Periodontics in Tucker, GA
• Providers in Tucker, GA by specialty
• Periodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.