Active NPI
Kayla Dawson, DDS
- General Practice Dentistry
- Marietta, GA
National Provider Identifier
1790198273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12012142A
- Practice address
- 1090 Northchase Pkwy SE Ste 290
Marietta, GA 30067-6402 - Phone
- (770) 916-9606
- NPI assigned
- Jun 3, 2014
- 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 | 12012142A | IN | Primary |
Addresses
Primary practice location
1090 Northchase Pkwy SE Ste 290
Marietta, GA 30067-6402
Mailing address
1800 Fort Harrison Rd
Terre Haute, IN 47804-1413
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 |
|---|---|---|---|
| 12012142A | IN | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404777600000",
"number": "1790198273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 FORT HARRISON RD",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478041413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1090 NORTHCHASE PKWY SE STE 290",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300676402",
"telephone_number": "770-916-9606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "KAYLA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-03",
"last_updated": "2014-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12012142A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.