Individual provider Active NPI

Karyl Cooper Patten, D.D.S, MPH

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1922153600
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN011644 Issued in GA
Practice address
35 Whitefoord Ave SE
Atlanta, GA 30317-1727
Phone
(404) 588-0101
Fax
(404) 588-0226
NPI assigned
Jan 24, 2007
Last updated
May 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 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 DN011644 GA Primary

Addresses

Primary practice location

35 Whitefoord Ave SE
Atlanta, GA 30317-1727

Mailing address

5100 Riverview Rd NW
Atlanta, GA 30327-4240
Phone (770) 639-3477

Other identifiers 2

IdentifierTypeStateIssuer
00738537GMedicaidGA
00738537EMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20160307002819 GA Order and Referring Only - DentistPractitioner - Dentist 3870899537

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Education Resource Group, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: karyl.patten@merg.eclinicaldirectplus.com

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1922153600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 RIVERVIEW RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274240",
            "telephone_number": "770-639-3477",
            "fax_number": "404-588-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 WHITEFOORD AVE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303171727",
            "telephone_number": "404-588-0101",
            "fax_number": "404-588-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTEN",
        "first_name": "KARYL",
        "middle_name": "COOPER",
        "name_prefix": "Dr.",
        "credential": "D.D.S, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN011644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00738537G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00738537E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.