Individual provider Active NPI

Joseph Marshall Atcheson, DMD

  • General Practice Dentistry
  • West Union, SC
National Provider Identifier
1619255593
Registry record updated Jul 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7057 Issued in SC
Practice address
153 Scenic Plaza Dr
West Union, SC 29696-2536
Phone
(864) 638-5631
NPI assigned
Jul 27, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7057 SC Primary

Addresses

Primary practice location

153 Scenic Plaza Dr
West Union, SC 29696-2536

Mailing address

300 Thomas LN
Central, SC 29630-9722

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

LicenseStateTypeSpecialty
7057SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Oconee Dental Associates,LLC General Practice Past Accepting new patients
Carolina Oaks Oconee, LLC Past 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": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311724800000",
    "number": "1619255593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 THOMAS LN",
            "city": "CENTRAL",
            "state": "SC",
            "postal_code": "296309722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 SCENIC PLAZA DR",
            "city": "WEST UNION",
            "state": "SC",
            "postal_code": "296962536",
            "telephone_number": "864-638-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATCHESON",
        "first_name": "JOSEPH",
        "middle_name": "MARSHALL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-27",
        "last_updated": "2011-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "7057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Union, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; 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.