DR. KELWIN J HEARD (NPI# 1902950777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902950777 |
| Entity Type | Individual |
| Full Name | DR. KELWIN J HEARD |
| Credential | DDS |
| Practice Address |
4806 Flat Shoals Pkwy Decatur GA 30034-5205 |
| Practice Telephone | 7709873430 |
| Practice Fax Number | 7709877929 |
| Mailing Telephone | 7709873430 |
| Mailing Fax Number | 7709877929 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN011170 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00888643A | 05 |
| Street Address |
4806 FLAT SHOALS PKWY |
| City | DECATUR |
| State | GA |
| Zip Code | 30034-5205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407900202 | Paula Pruitt Heard | Dentist | 4806 Flat Shoals Pkwy, Decatur, GA 30034-5205 | 2007-01-22 |
| 1396213039 | Devan Dental LLC | Clinic/Center | 4806 Flat Shoals Pkwy, Decatur, GA 30034-5205 | 2018-11-12 |
| 1144374851 | Heard & Heard Dental Associates, P.C. | Clinic/Center | 4806 Flat Shoals Pkwy, Decatur, GA 30034-5205 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289803 | Kalesha Uneek Presswood | Behavior Technician | 5361 Roswell Rd, Atlanta, GA 30034 | 2020-09-14 |
| 1447876768 | Rosemary Maines | Recreation Therapist | The Maines Group LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1437775764 | The Maines Group, LLC | Adult Companion | The Maines Group, LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1801351994 | Anthony E. Parrish, D.d.s., PC | Dentist | 3653 Flakes Mill Road, Suite E, Deactur, GA 30034 | 2019-02-04 |
| 1164916813 | Lenina O Chi-ukpai | Nurse Practitioner | 2942 Secretariat Ct, Decatur, GA 30034 | 2018-06-17 |
| 1154662765 | Zackery Kanel Thomas | Driver | 2782 Green Marsh Court, Decatur, GA 30034 | 2013-03-06 |
| 1033472642 | Lakeba Hibbler Williams | Counselor | 4147 Flat Shoals Pkwy, Decatur, GA 30034 | 2012-06-19 |
| 1164789632 | Foot Solutions of Georgia | Durable Medical Equipment & Medical Supplies | 3011 S Rainbow Dr, Suite 160, Decatur, GA 30034 | 2012-04-20 |
| 1699096172 | Wanda P Garrett | Social Worker | 3013 Rainbow Drive, Suite 112-e, South Dekalb Office Park, Decatur, GA 30034 | 2010-06-18 |
| 1245558022 | Teresa Behrend Fletcher | Counselor | 3915 Brookside Pkwy, Decatur, GA 30034 | 2010-05-04 |
| Find all providers in zip 30034 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870884 | Daniel Patrick Jurgens | Dentist | 2 N Country Club Rd Ste 2, Decatur, IL 62521-4174 | 2020-08-02 |
| 1134744576 | Dafna Lapidot | Dentist | 1074 Vistavia Cir, Decatur, GA 30033-3413 | 2020-06-11 |
| 1184140121 | Access Dental Care, LLC | Dentist | 1621 Wolverine Dr Se, Decatur, AL 35601-4933 | 2017-08-22 |
| 1154868917 | North Decatur Dentistry, PC | Dentist | 2570 Blackmon Drive, Suite 320, Decatur, GA 30033 | 2017-01-31 |
| 1245645084 | Mobile Dental Services of Alabama PC | Dentist | 3231 Fieldstone Dr Sw, Decatur, AL 35603-3173 | 2014-06-30 |
| 1619317518 | Jieun Jun | Dentist | 2450 Lawrenceville Hwy Ste 100, Decatur, GA 30033-3269 | 2013-06-25 |
| 1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1467731679 | David Gatti Corless | Dentist | 301 W. Main St., Decatur, TX 76234 | 2011-08-05 |
| 1598092801 | Brandon Michael Piper | Dentist | 469 W Wood St, Decatur, IL 62522-3109 | 2009-11-06 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.