Kitsie Hendrix, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN009050 Issued in GA

Practice address

2209 Roswell Rd Ste 300
Marietta, GA 30062-9300

Phone

(678) 560-2970

Fax

(678) 560-3251

NPI assigned

Sep 14, 2006

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368489600000",
    "number": "1619072618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 ROSWELL RD STE 300",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300629300",
            "telephone_number": "678-560-2970",
            "fax_number": "678-560-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 ROSWELL RD STE 300",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300629300",
            "telephone_number": "678-560-2970",
            "fax_number": "678-560-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "KITSIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2013-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN009050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David N Hendler, M.D.
• Stephanie Hendley, PT, DPT
• Clarence Hendrix, MD
• Demondria Hendrix, RBT
• Jill Czebatol Hendrix, PA-C
• Troy C Henley II, DO
• Sharon Hennigan, OT
• Rebecca Henning
• Hollis Calvin Henry, M.S.
• Nianna Henry

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; 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.