P Praxis·MD
● Active Type 1 · Individual

DR. Travis K Kimathi, DDS

Dentist·Woodstock, GA· NPI 1053590331 · Enumerated 2007 · 18 years on NPI
Kimathi is 1 of 14 dentist providers in Woodstock and 1 of 539 in Georgia.
NPI age
18 years
Enumerated 2007-11-02
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
GA, IL
2 states
Status
Active
No deactivations on record
Last NPPES update
2015-05-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 539 active dentist providers in Georgia.

NPI age
18 years
↑ 2 yr above median (16 yr)
State licenses
2 states
Top 88% — 11% of peers are multi-state
Subspecialties
1
In the 26% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-11Enumerated in NPPES
2007 2026

Where they practice

Practice location
375 Parkway 575, #100
Woodstock, GA 301886439
📞 7709240424fax 7705920636
Mailing address
1821 Monroe Dr Ne
Atlanta, GA 303245007
📞 4048638355

Specialties

  • Dentist Primary
    An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
    GA license #DN013750 taxonomy 1223P0221X
  • Dentist
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    IL license #019.027117 taxonomy 122300000X

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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