Active NPI
Frank Townsend Metelka, DDS
- Dentist
- Jacksboro, TN
National Provider Identifier
1033466289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9463
- Practice address
- 162 Sharp and Perkins Rd
Jacksboro, TN 37757-2507 - Phone
- (865) 556-4616
- NPI assigned
- Aug 7, 2012
- Last updated
- Oct 26, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9463 | TN | Primary |
Addresses
Primary practice location
162 Sharp and Perkins Rd
Jacksboro, TN 37757-2507
Mailing address
5505 Valdosta Rd
Knoxville, TN 37921-2430
Phone (865) 556-4616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9463 | TN | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477440000000",
"number": "1033466289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5505 VALDOSTA RD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379212430",
"telephone_number": "865-556-4616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 SHARP AND PERKINS RD",
"city": "JACKSBORO",
"state": "TN",
"postal_code": "377572507",
"telephone_number": "865-556-4616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METELKA",
"first_name": "FRANK",
"middle_name": "TOWNSEND",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-07",
"last_updated": "2016-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "9463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.