Active NPI
Vincent Bradley Atkinson, D.M.D.
- General Practice Dentistry
- Murfreesboro, TN
National Provider Identifier
1336127851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7905
- Practice address
- 2618 Merchants Walk
Murfreesboro, TN 37128-2863 - Phone
- (615) 217-7878
- Fax
- (615) 217-9809
- NPI assigned
- Jan 4, 2006
- 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 | 7905 | TN | |
| General Practice Dentistry | 1223G0001X | 7905 | TN | Primary |
Addresses
Primary practice location
2618 Merchants Walk
Murfreesboro, TN 37128-2863
Mailing address
2618 Merchants Walk
Murfreesboro, TN 37128-2863
Phone (615) 217-7878
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103863 | Other | TN | DORAL PROVIDER ID # |
| 3205693 | Medicaid | TN |
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 |
|---|---|---|---|
| 7905 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atkinson Family Dentistry, P.C. | General Practice | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Murfreesboro, TN
- NPI 1073785689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284422400000",
"number": "1336127851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2618 MERCHANTS WALK",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371282863",
"telephone_number": "615-217-7878",
"fax_number": "615-217-9809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2618 MERCHANTS WALK",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371282863",
"telephone_number": "615-217-7878",
"fax_number": "615-217-9809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATKINSON",
"first_name": "VINCENT",
"middle_name": "BRADLEY",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-04",
"last_updated": "2010-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "7905",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "7905",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DORAL PROVIDER ID #",
"identifier": "103863",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3205693",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.