Ira David Atcheson, DMD

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

DS-017928-L Issued in PA

Practice address

255 3Rd St
Beaver, PA 15009-2350

Phone

(724) 728-1700

Fax

(724) 728-1413

NPI assigned

Mar 14, 2006

Last updated

Nov 29, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Dr. I David Atcheson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Atcheson Oral Surgery LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Beaver, PA
  • NPI 1194911842
  Authorized official Same address or phone

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1215906268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 3RD ST",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092350",
            "telephone_number": "724-728-1700",
            "fax_number": "724-728-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 3RD ST",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092350",
            "telephone_number": "724-728-1700",
            "fax_number": "724-728-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATCHESON",
        "first_name": "IRA",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "PA",
            "license": "DS-017928-L",
            "primary": true
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "OH",
            "license": "30-019224",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0804268",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0882242",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "I",
            "last_name": "ATCHESON",
            "middle_name": "DAVID",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sarmad Ashfaq, M.D.
• Syeda Nimrah Asim, MD
• Association of Specialty Physicians, Inc
• Association of Specialty Physicians, Inc.
• Atcheson Oral Surgery LLC
• Audiology Associates,LLC
• Muhammad Ayub, MD
• Christopher Morphy Backus, DPM
• Stephen O Bader, MD
• Rebecca Lauren Bahar, DDS

• Oral and Maxillofacial Pathology Dentistry in Beaver, PA
• Providers in Beaver, PA by specialty
• Oral and Maxillofacial Pathology Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.

Verify at the official NPI Registry.