Jeanette Kessler, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN015851 Issued in GA

Practice address

1234 S Hairston Rd
Stone Mountain, GA 30088-2719

Phone

(678) 787-0129

NPI assigned

Jun 6, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1528627254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7468 MID BROADWELL TRCE",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300041442",
            "telephone_number": "678-787-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 S HAIRSTON RD",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300882719",
            "telephone_number": "678-787-0129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 Grayson Hwy",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300467171",
            "country_code": "US",
            "telephone_number": "678-787-0129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KESSLER",
        "first_name": "JEANETTE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahna Symone Kelley, DDS
• Donna Kristina Kemp, MED, NCC, LPC
• Bradford Jamal Kennebrew, PTA
• Kenny'S Personal Care Home
• Danielle Kershner, DPT
• Ketara Wellness Center LLC
• Khurram A Khan, M.D.
• Tuan Minh Khong, SA-C
• Alero A Kidd, RN,BSN,LLB
• Mi Lee Kim, DDS

• General Practice Dentistry in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.