Active NPI
Kevin Vincent Atlee, D.M.D.
- Dentist
- Moorestown, NJ
National Provider Identifier
1013016872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02191300
- Practice address
- 244 W Main St
Moorestown, NJ 08057-2367 - Phone
- (856) 234-8686
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02191300 | NJ | Primary |
Addresses
Primary practice location
244 W Main St
Moorestown, NJ 08057-2367
Mailing address
80 Clemens LN
Turnersville, NJ 08012-5826
Phone (856) 232-9136
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 |
|---|---|---|---|
| 22DI02191300 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tsin F. Chuang, DMD., PA. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Moorestown, NJ
- NPI 1790830081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013016872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 CLEMENS LN",
"city": "TURNERSVILLE",
"state": "NJ",
"postal_code": "080125826",
"telephone_number": "856-232-9136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "244 W MAIN ST",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080572367",
"telephone_number": "856-234-8686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATLEE",
"first_name": "KEVIN",
"middle_name": "VINCENT",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02191300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moorestown, NJ
Sources for this page
- 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.