Kailehia N Binns, DDS
Individual provider Active NPI General Practice Dentistry · Washington, DC
NPI 1063662724 · NPPES record last updated Sep 30, 2008
Key facts
- NPI
- 1063662724
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS 037560 (PA)
- Practice address
- 6900 Georgia Ave NW
Dental BLDG T20, Room 206B
Washington, DC 20307-0003 - Phone
- (202) 782-6815
- NPI assigned
- Sep 30, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170920003254 | GA | Practitioner - Dentist | 2769756378 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS 037560 | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grady Memorial Hospital Corporation | Current |
Accepting new patients | |
| Grady Memorial Hospital Corporation | Current |
Accepting new patients | |
| Grady Memorial Hospital Corporation | Past | Accepting new patients |
Locations
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
341 Ponce de Leon Ave NE
Atlanta, GA 30308
Phone (404) 616-2440
80 Jesse Hill Jr Dr SE
#88
Atlanta, GA 30303
Phone (404) 616-0879
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS 037560 | PA | Yes |
Addresses
Primary practice location
6900 Georgia Ave NW
Dental BLDG T20, Room 206B
Washington, DC 20307-0003
Mailing address
6900 Georgia Ave NW
Dental BLDG T20, Room 206B
Washington, DC 20307-5400
Phone (202) 782-6815
Other names
- Miss Kailehia N Dupree
Other providers in Washington, DC
- Biniam K Haileab
- Divine Xaviere Binkeu Koa
- Sidney Walter Binks III
- Sufyan Binmahfooz
- Johnell Binning
- Latoya Binton
- Bio-Medical Applications of Anacostia, Inc.
- Bio-Medical Applications of Capitol Hill, Inc.
- Bio-Medical Applications of Columbia Heights, Inc.
- Bio-Medical Applications of Northeast D.C., Inc.
All providers in Washington, DC · General Practice Dentistry in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.