Kiya Green-Dixie, DDS, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN012522 Issued in GA

Practice address

3650 Marketplace Blvd
Suite #920
East Point, GA 30344-5741

Phone

(404) 344-5585

Fax

(404) 344-0695

NPI assigned

Jul 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881618668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5639 VININGS PLACE TRL",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301265681",
            "telephone_number": "404-322-5585",
            "fax_number": "404-344-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 MARKETPLACE BLVD",
            "address_2": "SUITE #920",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303445741",
            "telephone_number": "404-344-5585",
            "fax_number": "404-344-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN-DIXIE",
        "first_name": "KIYA",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "DN012522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Timber Luree Hackett
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• Periodontics in East Point, GA
• Providers in East Point, GA by specialty
• Periodontics in Georgia

• 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.

Verify at the official NPI Registry.