NPIMap

Organization Active NPI

Monroe County Dental Clinic

  • Dentist
  • Madisonville, TN
National Provider Identifier
1023268828
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MONROE COUNTY DENTAL CLINIC
Practice address
3469 New Highway 68
Madisonville, TN 37354-5148
Phone
(423) 442-8828
Fax
(423) 442-3677
NPI assigned
Sep 29, 2008
Last updated
Sep 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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

Authorized official

Name
Barbara Levin, M.D.
Title
Director
Phone
(423) 337-1147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

3469 New Highway 68
Madisonville, TN 37354-5148

Mailing address

3469 New Highway 68
P.O. Box 398
Madisonville, TN 37354-5148
Phone (423) 442-8828

National Provider Directory

National Provider Directory
Tax ID family
Monroe County Dental Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1023268828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3469 NEW HIGHWAY 68",
            "address_2": "P.O. BOX 398",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "373545148",
            "telephone_number": "423-442-8828",
            "fax_number": "423-442-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3469 NEW HIGHWAY 68",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "373545148",
            "telephone_number": "423-442-8828",
            "fax_number": "423-442-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE COUNTY DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "423-337-1147",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.