Individual provider Active NPI

Eugenia Atkinson, DMD

  • General Practice Dentistry
  • Shenandoah, TX
National Provider Identifier
1780629352
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4191 Issued in SC
Practice address
1500 Research Forest Dr, Ste 220
Shenandoah, TX 77381
Phone
(281) 859-4624
Fax
(281) 859-4630
NPI assigned
Jun 18, 2006
Last updated
Oct 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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 4191 SC Primary

Addresses

Primary practice location

1500 Research Forest Dr, Ste 220
Shenandoah, TX 77381

Mailing address

1500 Research Forest Dr, Ste 220
Shenandoah, TX 77381
Phone (281) 859-4624

Other names 1

  • Eugenia Badescu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150730011765 TX Order and Referring Only - DentistPractitioner - Dentist 4688988959

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shenandoah Smiles Dentistry, PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1780629352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 RESEARCH FOREST DR, STE 220",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "77381",
            "telephone_number": "281-859-4624",
            "fax_number": "281-859-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 RESEARCH FOREST DR, STE 220",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "77381",
            "telephone_number": "281-859-4624",
            "fax_number": "281-859-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINSON",
        "first_name": "EUGENIA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EUGENIA",
            "last_name": "BADESCU",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.