Adrian Attkisson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16271 Issued in FL

Practice address

8390 N Palafox St
Pensacola, FL 32534-3735

Phone

(850) 988-5245

Fax

(877) 266-7170

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Aidan and Associates L.L.C.

  • Dentist
  • Milton, FL
  • NPI 1639777519
  NPD Authorized official
• Professional Dental Alliance of FL - Oon, PLLC

  • General Practice Dentistry
  • Cantonment, FL
  • NPI 1891579959
  NPD (past)
• Sorrento Dental Care, II, LLC

  • Dentist
  • Cantonment, FL
  • NPI 1578941878
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1356412290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT. #394",
            "address_2": "P.O. BOX 1000",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480001",
            "telephone_number": "941-300-4440",
            "fax_number": "941-404-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 N PALAFOX ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325343735",
            "telephone_number": "850-988-5245",
            "fax_number": "877-266-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTKISSON",
        "first_name": "ADRIAN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "16271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113960700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracie L Ates, CRNA
• Erica Atkins
• Erika Ruth Atkins
• Karen Lynn Atkins, RD
• Atlantic Care Home Health Pensacola LLC
• George W Atwell, M.D.
• Audiology Services Company USA, LLC
• Jaime Lynn Aughtman, M.A., LMHC
• Philip Nathanael Augustin, CRNA
• Raynold Augustin, LCSW

• General Practice Dentistry in Pensacola, FL
• Providers in Pensacola, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.