Individual provider Active NPI

Kara Kramer, DMD

  • Periodontics
  • Atlanta, GA
National Provider Identifier
1073972584
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN015347 Issued in GA
Practice address
2970 Peachtree Rd NW Ste 622
Atlanta, GA 30305-2115
Phone
(404) 261-9593
NPI assigned
Feb 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DN015347 GA Primary

Addresses

Primary practice location

2970 Peachtree Rd NW Ste 622
Atlanta, GA 30305-2115

Mailing address

6317 4TH Ave
Brooklyn, NY 11220-4922

Other practice location 1

6317 4th Ave
Brooklyn, NY 11220-4922
Phone (718) 907-8100

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

LicenseStateTypeSpecialty
DN015347GAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Buckhead Periodontics, P.C. 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.

NPI Registry JSON

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1073972584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6317 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 PEACHTREE RD NW STE 622",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052115",
            "telephone_number": "404-261-9593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6317 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112204922",
            "country_code": "US",
            "telephone_number": "718-907-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "KARA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-12",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "DN015347",
            "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 May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.