Individual provider Active NPI

Martha Virginia Kirkland, DMD MS

  • Dentist
  • Alpharetta, GA
National Provider Identifier
1437217650
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN011812 Issued in GA
Practice address
4205 North Point Parkway
Building a
Alpharetta, GA 30022
Phone
(770) 740-0442
Fax
(770) 740-9830
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN011812 GA Primary

Addresses

Primary practice location

4205 North Point Parkway
Building a
Alpharetta, GA 30022

Mailing address

4205 North Point Parkway
Building a
Alpharetta, GA 30022
Phone (770) 740-0442

Other names 1

  • Ginger Virginia Kirkland Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20110831000194 GA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4486824497

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DN011812GAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
North Point Periodontics Center LLC PastSince Sep 15, 2019 Accepting new patients
North Point Periodontics Dentist Past Accepting new patients

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437217650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 NORTH POINT PARKWAY",
            "address_2": "BUILDING A",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30022",
            "telephone_number": "770-740-0442",
            "fax_number": "770-740-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 NORTH POINT PARKWAY",
            "address_2": "BUILDING A",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30022",
            "telephone_number": "770-740-0442",
            "fax_number": "770-740-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKLAND",
        "first_name": "MARTHA",
        "middle_name": "VIRGINIA",
        "credential": "DMD MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN011812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINGER",
            "last_name": "KIRKLAND",
            "middle_name": "VIRGINIA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.