Active NPI
Christian Leigh Buckner, RDH, BS
- Dental Hygienist
- Sandy Springs, GA
National Provider Identifier
1730718446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH011476
- Practice address
- 5014 Roswell Rd
Sandy Springs, GA 30342-2207 - Phone
- (404) 847-9711
- NPI assigned
- Apr 4, 2020
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH011476 | GA | Primary |
Addresses
Primary practice location
5014 Roswell Rd
Sandy Springs, GA 30342-2207
Mailing address
10114 Windalier Way
Roswell, GA 30076-1777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124Q00000X | Other | GA | DENTISTRY 12 |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jdixon@georgiasmiles.com | Direct |
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DH011476 | GA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atl Center for Cosmetic Dentistry LLC | Current | Accepting new patients | |
| Debra Gray King, DDS PC | Past | Accepting new patients |
Locations
5014 Roswell Rd
Sandy Springs, GA 30342
Phone (404) 847-9711
Organizations & group practices 2
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.
-
- Dentist
- Atlanta, GA
- NPI 1821771262
-
- Dentist
- Atlanta, GA
- NPI 1407039803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585958400000",
"number": "1730718446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10114 WINDALIER WAY",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300761777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5014 ROSWELL RD",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303422207",
"telephone_number": "404-847-9711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKNER",
"first_name": "CHRISTIAN",
"middle_name": "LEIGH",
"credential": "RDH, BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-04",
"last_updated": "2020-04-04",
"certification_date": "2020-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "GA",
"license": "DH011476",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTISTRY 12",
"identifier": "124Q00000X",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jdixon@georgiasmiles.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"contentOtherDescription": "email",
"address_1": "5014 Roswell Rd",
"city": "Sandy Springs",
"state": "GA",
"country_code": "US",
"postal_code": "303422207",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sandy Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.