Active NPI
Celia Reed Dyer, D.M.D.
- General Practice Dentistry
- Atlanta, GA
National Provider Identifier
1295084838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN012131
- Practice address
- 290 Hilderbrand Dr NE
Suite a-9
Atlanta, GA 30328-3906 - Phone
- (404) 255-2273
- Fax
- (404) 255-0923
- NPI assigned
- Aug 29, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN012131 | GA | Primary |
Addresses
Primary practice location
290 Hilderbrand Dr NE
Suite a-9
Atlanta, GA 30328-3906
Mailing address
PO Box 53073
Atlanta, GA 30355-1073
Phone (404) 444-8115
Other names 1
- Dr. Celia Ann Bird
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 |
|---|---|---|---|
| DN012131 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental TLC, 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": "1346198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347840000000",
"number": "1295084838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 53073",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303551073",
"telephone_number": "404-444-8115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 HILDERBRAND DR NE",
"address_2": "SUITE A-9",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303283906",
"telephone_number": "404-255-2273",
"fax_number": "404-255-0923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYER",
"first_name": "CELIA",
"middle_name": "REED",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-29",
"last_updated": "2012-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN012131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CELIA",
"last_name": "BIRD",
"middle_name": "ANN",
"prefix": "DR.",
"credential": "D.M.D.",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.