Individual provider Active NPI

Howard Scott Atlas, D.D.S.

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1093704041
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
037538 Issued in NY
Practice address
9923 Avenue K
Brooklyn, NY 11236-4421
Phone
(718) 763-2200
Fax
(718) 763-2021
NPI assigned
Oct 20, 2005
Last updated
Jun 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 037538 NY Primary

Addresses

Primary practice location

9923 Avenue K
Brooklyn, NY 11236-4421

Mailing address

3901 Nostrand Ave
Apt 3K
Brooklyn, NY 11235-2150
Phone (718) 891-5886

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

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1093704041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 NOSTRAND AVE",
            "address_2": "APT 3K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352150",
            "telephone_number": "718-891-5886",
            "fax_number": "718-763-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9923 AVENUE K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364421",
            "telephone_number": "718-763-2200",
            "fax_number": "718-763-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATLAS",
        "first_name": "HOWARD",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "037538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.