Active NPI
Lana Bates Atchley, DMD
- General Practice Dentistry
- Phenix City, AL
National Provider Identifier
1265584064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- AL4617
- Practice address
- 3544 Hwy 431 North/280 West
Phenix City, AL 36867 - Phone
- (334) 298-9900
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | AL4617 | AL | Primary |
| General Practice Dentistry | 1223G0001X | DN13802 | FL |
Addresses
Primary practice location
3544 Hwy 431 North/280 West
Phenix City, AL 36867
Mailing address
8643 Creekrise Dr
Columbus, GA 31904-1400
Phone (706) 327-0168
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009957060 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160309001774 | AL | Order and Referring Only - Oral Surgery | 6204132707 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL4617 | AL | MD | General Practice Dentistry |
| DN13802 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1265584064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8643 CREEKRISE DR",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319041400",
"telephone_number": "706-327-0168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3544 HWY 431 NORTH/280 WEST",
"city": "PHENIX CITY",
"state": "AL",
"postal_code": "36867",
"telephone_number": "334-298-9900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATCHLEY",
"first_name": "LANA",
"middle_name": "BATES",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "AL4617",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN13802",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009957060",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phenix City, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.