Individual provider Active NPI

Taheia Turner Dozier, D.D.S.

  • General Practice Dentistry
  • Norcross, GA
National Provider Identifier
1568575280
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24527 Issued in TX
Practice address
6141 Peachtree Pkwy
Norcross, GA 30092-3304
Phone
(678) 364-2939
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN013403 GA
General Practice Dentistry 1223G0001X 24527 TX Primary

Addresses

Primary practice location

6141 Peachtree Pkwy
Norcross, GA 30092-3304

Mailing address

6141 Peachtree Pkwy
Norcross, GA 30092-3304
Phone (678) 364-2939

Other names 1

  • Dr. Taheia Kathryn Turner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170620001799 TX Order and Referring Only - DentistPractitioner - Dentist 7315215191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN013403GAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Divine Dentistry LLC General Practice CurrentSince Jun 11, 2023 Accepting new patients

Locations

6141 Peachtree Pkwy
Peachtree Corners, GA 30092
Phone (240) 462-6454

Interoperability endpoints

  • Direct secure messaging: taheia.dozier.p1@direct.smcmed.nextgenshare.com

Organizations & group practices 1

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1568575280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6141 PEACHTREE PKWY",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300923304",
            "telephone_number": "678-364-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6141 PEACHTREE PKWY",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300923304",
            "telephone_number": "678-364-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOZIER",
        "first_name": "TAHEIA",
        "middle_name": "TURNER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013403",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAHEIA",
            "last_name": "TURNER",
            "middle_name": "KATHRYN",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norcross, GA

Sources for this page

Verify at the official NPI Registry.