Active NPI
Kylee Bishop, D.D.S.
- General Practice Dentistry
- Cumming, GA
National Provider Identifier
1669812558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN014854
- Practice address
- 285 Elm St Ste 301
Cumming, GA 30040-8233 - Phone
- (770) 744-4581
- NPI assigned
- Jun 25, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN014854 | GA | Primary |
Addresses
Primary practice location
285 Elm St Ste 301
Cumming, GA 30040-8233
Mailing address
6165 Millwick Dr
Alpharetta, GA 30005-5030
Phone (419) 494-6584
Other practice location 1
7645 N Oracle Rd
Suite 120
Oro Valley, AZ 85704-6564
Phone (520) 797-9061
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN014854 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catalina Smiles, LLP | General Practice | Past | Accepting new patients |
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": "1372118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1669812558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6165 MILLWICK DR",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300055030",
"telephone_number": "419-494-6584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 ELM ST STE 301",
"city": "CUMMING",
"state": "GA",
"postal_code": "300408233",
"telephone_number": "770-744-4581"
}
],
"practiceLocations": [
{
"address_1": "7645 N Oracle Rd",
"address_2": "Suite 120",
"address_purpose": "LOCATION",
"city": "Oro Valley",
"state": "AZ",
"postal_code": "857046564",
"country_code": "US",
"telephone_number": "520-797-9061",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BISHOP",
"first_name": "KYLEE",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-25",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN014854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.