Organization Active NPI

Paul D. McGowan Jr. D.D.S.

  • Dental Clinic/Center
  • Knoxville, TN
National Provider Identifier
1033673546
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PAUL D. MCGOWAN JR. D.D.S.
Practice address
9225 Westland Dr Ste 101
Knoxville, TN 37922-5216
Phone
(865) 690-0085
NPI assigned
Jan 29, 2019
Last updated
Jan 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Authorized official

Name
Julia Tobler
Title
MGR
Phone
(865) 690-0085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

9225 Westland Dr Ste 101
Knoxville, TN 37922-5216

Mailing address

9225 Westland Dr Ste 101
Knoxville, TN 37922-5216

National Provider Directory

National Provider Directory

Locations

9225 Westland Dr
Ste 101
Knoxville, TN 37922
Phone (865) 690-0085

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548720000000",
    "number": "1033673546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 WESTLAND DR STE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379225216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 WESTLAND DR STE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379225216",
            "telephone_number": "865-690-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL D. MCGOWAN JR. D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-01-29",
        "status": "A",
        "authorized_official_last_name": "TOBLER",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "865-690-0085"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.