Individual provider Active NPI

Murat Atli, DDS

  • General Practice Dentistry
  • Mission Viejo, CA
National Provider Identifier
1225170202
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55368 Issued in CA
Practice address
24002 Via Fabricante
Ste 301
Mission Viejo, CA 92691-3932
Phone
(949) 351-4331
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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 55368 CA Primary

Addresses

Primary practice location

24002 Via Fabricante
Ste 301
Mission Viejo, CA 92691-3932

Mailing address

22852 Caseda
Mission Viejo, CA 92691-1721
Phone (949) 351-4331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20140207001606 CA Practitioner - Oral Surgery 5698904902 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: murat.atli@ma-ca1.direct.office.nextgen.com

Organizations & group practices 1

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1225170202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22852 CASEDA",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926911721",
            "telephone_number": "949-351-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24002 VIA FABRICANTE",
            "address_2": "STE 301",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926913932",
            "telephone_number": "949-351-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATLI",
        "first_name": "MURAT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.