Individual provider Active NPI

Deborah Jean Aten, D.D.S.

  • Dentist
  • Charlotte, NC
National Provider Identifier
1023137650
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
06311 Issued in NC
Practice address
3420 Toringdon Way Ste 310
Charlotte, NC 28277-1217
Phone
(704) 540-4252
Fax
(704) 540-4286
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 06311 NC Primary
General Practice Dentistry 1223G0001X 06311 NC

Addresses

Primary practice location

3420 Toringdon Way Ste 310
Charlotte, NC 28277-1217

Mailing address

3420 Toringdon Way Ste 310
Charlotte, NC 28277-1217
Phone (704) 540-4252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160210002095 NC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1254635352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6311NCMDPsychologist
06311NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah Aten DDS & Anthony Garofalo DDS PLLC Dentist Past Accepting new patients
Deborah J. Aten, DDS, PLLC Dentist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1023137650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 TORINGDON WAY STE 310",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282771217",
            "telephone_number": "704-540-4252",
            "fax_number": "704-540-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 TORINGDON WAY STE 310",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282771217",
            "telephone_number": "704-540-4252",
            "fax_number": "704-540-4286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATEN",
        "first_name": "DEBORAH",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "06311",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "06311",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.