Organization Active NPI

Joshua D. Atkin D.D.S., LLC

  • Dentist
  • Dayton, OH
National Provider Identifier
1700438041
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JOSHUA D. ATKIN D.D.S., LLC
Practice address
3609 N Dixie Dr
Dayton, OH 45414-5232
Phone
(937) 278-7954
NPI assigned
Jul 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Authorized official

Name
Joshua Atkin, DDSNPI 1710190772
Title
Ceo
Phone
(614) 446-6737

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3609 N Dixie Dr
Dayton, OH 45414-5232

Mailing address

3609 N Dixie Dr
Dayton, OH 45414-5232
Phone (937) 278-7954

Other identifiers 3

IdentifierTypeStateIssuer
0692415MedicaidOH
2741644MedicaidOH
2653552MedicaidOH

National Provider Directory

National Provider Directory

Locations

3609 N Dixie Dr
Dayton, OH 45414
Phone (937) 278-7954

Practitioners & affiliated clinicians

Practitioners 1

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": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1700438041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 N DIXIE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454145232",
            "telephone_number": "937-278-7954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 N DIXIE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454145232",
            "telephone_number": "937-278-7954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA D. ATKIN D.D.S., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "ATKIN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-446-6737",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0692415",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2741644",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2653552",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.