Katherine Fry Hidi, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

13702 Issued in GA

Practice address

3065 Akers Mill Rd SE Ste 225
Atlanta, GA 30339-3124

Phone

(678) 990-3363

NPI assigned

Oct 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Katherine Lynn Fry Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Katherine L. Fry DMD PC

  dba Vinings Endodontics

  • Endodontics
  • Atlanta, GA
  • NPI 1558854398
  NPD Authorized official

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1427247402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 AKERS MILL RD SE STE 225",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393124",
            "telephone_number": "205-901-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 AKERS MILL RD SE STE 225",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393124",
            "telephone_number": "678-990-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIDI",
        "first_name": "KATHERINE",
        "middle_name": "FRY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AL",
            "license": "5473",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "GA",
            "license": "13702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "FRY",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William Harrison Hicks, MD
• Michael Hickson, MD
• Tatiana Hickson
• Hidden Gems ABA Ga LLC
• Hidden Talents ABA
• Alicia Ines Hidron, M.D.
• Alex Higdon, PH.D.
• Jason Higdon, MD
• Adam Daniel Higginbotham, PTA
• Lenora Higginbotham, M.D.

• Endodontics in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Endodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.