Alexis Atchinson, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D9690 Issued in OR

Practice address

1100 NW Garden Valley Blvd
Roseburg, OR 97471-1923

Phone

(541) 673-7437

NPI assigned

Dec 3, 2013

Last updated

Dec 3, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Alanson M. Randol DDS, P.C.

  • General Practice Dentistry
  • Roseburg, OR
  • NPI 1548139553
  NPD (past)

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386028800000",
    "number": "1922439876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NW GARDEN VALLEY BLVD",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711923",
            "telephone_number": "541-673-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NW GARDEN VALLEY BLVD",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711923",
            "telephone_number": "541-673-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATCHINSON",
        "first_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-03",
        "last_updated": "2013-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D9690",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "31748",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Artisan Orthotic Prosthetic Technologies, Inc
• Artistic Denture Inc
• Ash, LLC (Advanced Sleep Health, LLC)
• Jacey N Ashley
• Aspen Chiropractic P.C.
• Atrio Health Plans, Inc.
• Jennifer Sarah Atterberry, DOULA
• Jessica Anne Atterbury
• Audiology Consultants of Southern Oregon, Inc.
• Erin Audiss, R.D.

• Dentist in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.