Individual provider Active NPI

Kendall Cook Tromp, DMD

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1295579720
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN123414 Issued in GA
Practice address
200 Galleria Pkwy SE Ste 1810
Atlanta, GA 30339-5946
Phone
(770) 953-6666
NPI assigned
Jun 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN123414 GA Primary

Addresses

Primary practice location

200 Galleria Pkwy SE Ste 1810
Atlanta, GA 30339-5946

Mailing address

4733 Eidson Rd
Dunwoody, GA 30360-1937
Phone (770) 866-5140

Other practice location 1

3525 Lawrenceville Suwanee Rd
Suwanee, GA 30024-6568
Phone (770) 866-5140

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
DN123414GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Alex Cole DMD LLC General Practice CurrentSince Jun 23, 2024 Accepting new patients
Cynthia Jones D.M.D. P.C. Past Accepting new patients

Locations

200 Galleria Pkwy SE
Ste 1810
Atlanta, GA 30339
Phone (770) 953-6666

Organizations & group practices 2

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": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1295579720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4733 EIDSON RD",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303601937",
            "telephone_number": "770-866-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GALLERIA PKWY SE STE 1810",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395946",
            "telephone_number": "770-953-6666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3525 Lawrenceville Suwanee Rd",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300246568",
            "country_code": "US",
            "telephone_number": "770-866-5140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROMP",
        "first_name": "KENDALL",
        "middle_name": "COOK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN123414",
            "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 Jun 20, 2024; 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.