Katie Haber

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

122572 Issued in GA

Practice address

4250 Roswell Rd Ste 110
Marietta, GA 30062-8114

Phone

(770) 509-5585

NPI assigned

May 14, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: katie.haber@xdr.hhchealthdirect.org

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.

• Johnson Ferry Dentistry, PC

  • Dentist
  • Marietta, GA
  • NPI 1275967663
  NPD (past)

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1467074294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HELMSLEY DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 ROSWELL RD STE 110",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300628114",
            "telephone_number": "770-509-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABER",
        "first_name": "KATIE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-14",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.034093",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "GA",
            "license": "122572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Ann-Marie Guthrie, PT
• Jillian Guye
• Talisia Guyton, COTA/L
• Patricia Guzman, RDH
• H&H Weight Loss LLC
• Rediet Habtemarkos, M.D.
• David R. Haburchak, MD
• Eddie Hackler III, M.D.
• Edmond F. Hackney, RPH
• Melanie Hackney, PMHNP-BC

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

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