Individual provider Active NPI

Lauren Alena Atwell-Oglesby, DMD

  • General Practice Dentistry
  • Bronx, NY
National Provider Identifier
1922395896
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
056117 Issued in NY
Practice address
3444 Kossuth Ave
Bronx, NY 10467-2410
Phone
(352) 359-3286
NPI assigned
Jun 29, 2011
Last updated
May 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2019

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 056117 NY Primary

Addresses

Primary practice location

3444 Kossuth Ave
Bronx, NY 10467-2410

Mailing address

82 Yale Rd
Hartsdale, NY 10530-2013
Phone (352) 359-3286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20150724011430 NY Order and Referring Only - DentistPractitioner - Dentist 7618280249

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056117NYMDPharmacist

Interoperability endpoints

  • Direct secure messaging: latwellogl@montefioredirect.com

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1922395896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 YALE RD",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105302013",
            "telephone_number": "352-359-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3444 KOSSUTH AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672410",
            "telephone_number": "352-359-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATWELL-OGLESBY",
        "first_name": "LAUREN",
        "middle_name": "ALENA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "056117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.