Kendra Nicole Ousley, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN015735 Issued in GA

Practice address

12460 Crabapple Rd Ste 801
Alpharetta, GA 30004-6391

Phone

(770) 360-9131

NPI assigned

Jul 22, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kendra Nicole Chapman-Small Former name

Medicare fee-for-service enrollment

Enrolled in CO

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

State licenses

Practice roles

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.

• Crabapple Smiles Dental Group PC

  • General Practice Dentistry
  • Alpharetta, GA
  • NPI 1548672082
  NPD (past)
• Perfect Teeth - East 104TH Avenue P.C.

  • General Practice Dentistry
  • Thornton, CO
  • NPI 1922128859
  NPD (past)

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1205114337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 VIRGINIA RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303384793",
            "telephone_number": "217-415-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12460 CRABAPPLE RD STE 801",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300046391",
            "telephone_number": "770-360-9131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 E 104th Ave Ste 112",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802334402",
            "country_code": "US",
            "telephone_number": "303-452-4142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OUSLEY",
        "first_name": "KENDRA",
        "middle_name": "NICOLE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-22",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "10668",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDRA",
            "last_name": "CHAPMAN-SMALL",
            "middle_name": "NICOLE",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ossatron Services of Tampa Bay II
• Richard Estes Ottinger Jr., LPC
• Abby Holt Otto, M.D.
• Katharine Cumming Otto, MD
• Brian E. Ouellette, D.C.
• Outcomes Health Connections, LLC
• Outpatient Behavioral Health, LLC
• Marinda Sisler Owens, MS CCC-SLP
• P Michael Skaliy MD PC
• P.Michael Skaliy, MD, PC

• General Practice Dentistry in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.