Organization Active NPI

Atkins DDS, PA

  • General Practice Dentistry
  • College Station, TX
National Provider Identifier
1518477751
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20564 Issued in TX
Legal business name
ATKINS DDS, PA
Practice address
1700 Crescent Pointe Pkwy
College Station, TX 77845-3898
Phone
(979) 846-1813
Fax
(979) 260-9824
NPI assigned
Oct 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Authorized official

Name
Dr. Brady R Atkins, DDSNPI 1154841161
Title
President/Owner
Phone
(979) 846-1813

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 20564 TX Primary
Dental Clinic/Center 261QD0000X 32980 TX

Addresses

Primary practice location

1700 Crescent Pointe Pkwy
College Station, TX 77845-3898

Mailing address

1700 Crescent Pointe Pkwy
College Station, TX 77845-3898
Phone (979) 846-1813

Other identifiers 3

IdentifierTypeStateIssuer
1154841161OtherTXNPI
1730250085OtherTXNPI
1760969893OtherLINDSEY ATKINS NPI

Other names 1

  • Atkins & Anderson DDS Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@andersonatkinsdds.com

National Provider Directory

National Provider Directory

Locations

1700 Crescent Pointe Pkwy
College Station, TX 77845
Phone (979) 846-1813

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1518477751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 CRESCENT POINTE PKWY",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778453898",
            "telephone_number": "979-846-1813",
            "fax_number": "979-260-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CRESCENT POINTE PKWY",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778453898",
            "telephone_number": "979-846-1813",
            "fax_number": "979-260-9824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATKINS DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "ATKINS",
        "authorized_official_first_name": "BRADY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "979-846-1813",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20564",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "32980",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1154841161",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1730250085",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LINDSEY ATKINS NPI",
            "identifier": "1760969893",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@andersonatkinsdds.com",
            "affiliation": "N",
            "address_1": "1700 Crescent Pointe Pkwy",
            "city": "College Station",
            "state": "TX",
            "country_code": "US",
            "postal_code": "778453898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Atkins & Anderson DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.