1720652217 NPI number — KRISTOPHER FRANK ATEN DO

Table of content: KRISTOPHER FRANK ATEN DO (NPI 1720652217)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720652217 NPI number — KRISTOPHER FRANK ATEN DO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ATEN
Provider First Name:
KRISTOPHER
Provider Middle Name:
FRANK
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DO
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1720652217
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/20/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
MDMC 5TH FLOOR 1441 N. BECKLEY AVE.
Provider Second Line Business Mailing Address:
GRADUATE MEDICAL EDUCATION
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75203
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-947-2348
Provider Business Mailing Address Fax Number:
214-946-2358

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1441 N BECKLEY AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75203-1201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-947-2348
Provider Business Practice Location Address Fax Number:
214-946-2358
Provider Enumeration Date:
05/18/2021

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  V9555 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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