Active NPI
Kim Turner
- Dentist
- Atlanta, GA
National Provider Identifier
1780753574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 010612
- Practice address
- 99 Jesse Hill Jr Dr
Atlanta, GA 30344 - Phone
- (404) 730-1471
- Fax
- (404) 730-1475
- NPI assigned
- Nov 7, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 010612 | GA | Primary |
Addresses
Primary practice location
99 Jesse Hill Jr Dr
Atlanta, GA 30344
Mailing address
99 Jesse Hill Jr Dr
Atlanta, GA 30344
Phone (404) 730-1471
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00583041B1D1E1K | Medicaid | GA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780753574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 JESSE HILL JR DR",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30344",
"telephone_number": "404-730-1471",
"fax_number": "404-730-1475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 JESSE HILL JR DR",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30344",
"telephone_number": "404-730-1471",
"fax_number": "404-730-1475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURNER",
"first_name": "KIM",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "010612",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00583041B1D1E1K",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.