Atlantis Medical Clinic, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ATLANTIS MEDICAL CLINIC, LLC

Practice address

610 E Jefferson Blvd
Ste 110
Dallas, TX 75203-2750

Phone

(214) 222-9115

NPI assigned

Jan 17, 2011

Organization subpart

No

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

Authorized official

Name

Candice Brown, MD

Title

President

Phone

(214) 538-8016

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Candice Lynn Brown Addison, MD

  • General Practice Physician
  • Irving, TX
  • NPI 1326251208
  NPD (past)
• Angel Salazar, M.D.

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1912981721
  NPD (past)

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

{
    "created_epoch": "1295222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1679878052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 MCKINNEY AVE",
            "address_2": "STE 940",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752011908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E JEFFERSON BLVD",
            "address_2": "STE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752032750",
            "telephone_number": "214-222-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIS MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-17",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-538-8016",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Matthew Atkinson, M.D.
• Melanie Hyde Atkinson, CRNA
• Pooja Atkuri, MD
• Atlantic Medical Supplies
• Atlantis Dental Care, P.C, (Atlantis Dental)
• Atlas Dental Management, LLC (Atlas Dental Group)
• Atlas Medical Equipment
• Neil Atlin, DO
• Hema Atluri, MD
• Shanna Dilene Atnip, NP

• Family Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.