Active NPI
Owen L Atkin, D.M.D.
- Dentist
- Craig, CO
National Provider Identifier
1295920155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D8966
- Practice address
- 965 W Victory Way
Craig, CO 81625-2937 - Phone
- (970) 824-3425
- NPI assigned
- Sep 12, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 10180 | CO | |
| Dentist | 122300000X | D8966 | OR | Primary |
Addresses
Primary practice location
965 W Victory Way
Craig, CO 81625-2937
Mailing address
965 W Victory Way
Craig, CO 81625-2937
Phone (970) 824-3425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10180 | CO | MD | Mental Health Counselor |
| D8966 | OR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279497600000",
"number": "1295920155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 W VICTORY WAY",
"city": "CRAIG",
"state": "CO",
"postal_code": "816252937",
"telephone_number": "970-824-3425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "965 W VICTORY WAY",
"city": "CRAIG",
"state": "CO",
"postal_code": "816252937",
"telephone_number": "970-824-3425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATKIN",
"first_name": "OWEN",
"middle_name": "L",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-12",
"last_updated": "2010-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "10180",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D8966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Craig, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.