Brikhna Atmar, D.D.S.
Individual provider Active NPI General Practice Dentistry · Avon, IN
NPI 1104995455 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104995455
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 12010297 (IN)
- Practice address
- 8101 E US Highway 36 Ste a
Avon, IN 46123-8082 - Phone
- (317) 272-6990
- Fax
- (317) 272-6994
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150327002175 | IN | Order and Referring Only - Dentist |
5991022113 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12010297 | IN | Yes |
Addresses
Primary practice location
8101 E US Highway 36 Ste a
Avon, IN 46123-8082
Mailing address
7268 Lakeside Woods Dr
Indianapolis, IN 46278-1659
Other providers in Avon, IN
- Assistech LLC
- Associates in Family Dentistry PC
- Abraham Athialy
- Athletico LTD
- Atlas Family Dental, LLC
- Jennifer Austin
- Robert Avila
- Avon Chiropractic Clinic, LLC
- Avon Christian Counseling Center
- Avon Community School Corporation
All providers in Avon, IN · General Practice Dentistry in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.