Individual provider Active NPI

Christian A Atem, SA-C

  • Surgical Assistant
  • Grand Prairie, TX
National Provider Identifier
1477807592
Registry record updated Oct 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
12233 Issued in TX
Practice address
5847 Ridgeway Dr
Grand Prairie, TX 75052-0448
Phone
(216) 832-6869
NPI assigned
Oct 29, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 12233 TX Primary

Addresses

Primary practice location

5847 Ridgeway Dr
Grand Prairie, TX 75052-0448

Mailing address

5847 Ridgeway Dr
Grand Prairie, TX 75052-0448
Phone (216) 832-6869

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

Practice roles

OrganizationSpecialtyStatusNew patients
Serene Healthcare Services, LLC Current Accepting new patients
Homelike Residential Services Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1477807592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5847 RIDGEWAY DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750520448",
            "telephone_number": "216-832-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5847 RIDGEWAY DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750520448",
            "telephone_number": "216-832-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATEM",
        "first_name": "CHRISTIAN",
        "middle_name": "A",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-29",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "12233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.