Atrium Modern Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ATRIUM MODERN DENTAL

Practice address

9401 Lyndon B Johnson Fwy Ste 200
Dallas, TX 75243-4548

Phone

(972) 686-5401

NPI assigned

May 17, 2019

Last updated

May 17, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

ATRIUM MODERN DENTALAs reported in NPPES

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

Authorized official

Name

Myke Nguyen

Title

Owner

Phone

(972) 686-5401

Specialties & licenses 1

Addresses

Other names 1

• Atrium Modern Dental Former legal business name

Part of

Atrium Modern Dental

Locations

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558051200000",
    "number": "1396301131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 LYNDON B JOHNSON FWY STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752434548",
            "telephone_number": "972-686-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 LYNDON B JOHNSON FWY STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752434548",
            "telephone_number": "972-686-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATRIUM MODERN DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATRIUM MODERN DENTAL",
        "enumeration_date": "2019-05-17",
        "last_updated": "2019-05-17",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MYKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-686-5401"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atrium Modern Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Hema Atluri, MD
• Shanna Dilene Atnip, NP
• Atrielle Health LLC
• Atrium Family Medical Clinic
• Atrium House Call Clinic, LLC
• Attachment Lab Counseling PLLC
• Eman N Attaya, M.D.
• Shannon Attebery, COTA
• Lauren M Attiah, LPC
• Atul K Singhal MD Facr

• Dental Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; 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.