IndividualActive
Travis Kimathi, DDS
NPI 1053590331 · Pediatric Dentistry · Woodstock, GA
Provider details
- NPI number
- 1053590331
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 019.027117 (IL)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
375 Parkway 575
#100
Woodstock, GA 30188-6439
Phone: (770) 924-0424
Fax: (770) 592-0636
Street-level locationGet directions
Mailing address
1821 Monroe Dr Ne
Atlanta, GA 30324-5007
Registry dates
- Enumerated
- 2007-11-02
- Last updated
- 2015-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.