Atom Jacob Edenson, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN19626 Issued in FL

Practice address

109 W Bearss Ave
Tampa, FL 33613-1219

Phone

(813) 632-3118

Fax

(813) 969-3096

NPI assigned

Jan 19, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Claudia a Hohn, DDS PA

  • Dentist
  • Tampa, FL
  • NPI 1467557058
  NPD (past)

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1184995383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W BEARSS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131219",
            "telephone_number": "813-632-3118",
            "fax_number": "813-969-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W BEARSS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131219",
            "telephone_number": "813-632-3118",
            "fax_number": "813-969-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDENSON",
        "first_name": "ATOM",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenalyse Edejer
• Edelson Wellness Center, LLC
• Steven Gregg Edelson, DC
• Eden Home Health
• Eden Home Health Martin LLC
• Aurora Edgar
• Edgard Janer MD PA
• Edge of Greatness Psychotherapy PLLC
• Laura Michelle Edge, APRN
• Anna Edgemon

• General Practice Dentistry in Tampa, FL
• Providers in Tampa, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.