K. Darrel Clabough DDS, P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

3957 Issued in TN

Legal business name

K. DARREL CLABOUGH DDS, P.C.

Practice address

1565 Salem Loop
Greenback, TN 37742-3201

Phone

(865) 803-9100

Fax

(865) 982-0118

NPI assigned

Jan 2, 2014

Last updated

Jan 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Darrel Clabough, D.D.S.

Title

Owner/Provider

Phone

(865) 983-0941

Specialties & licenses 1

Addresses

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.

• K Darrel Clagough, DDS

  • General Practice Dentistry
  • Alcoa, TN
  • NPI 1194893883
  NPD (past)
• Christopher Brett Orr, DDS

  • Dentist
  • Alcoa, TN
  • NPI 1083926562
  NPD (past)

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1043631401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 SANDERSON ST",
            "city": "ALCOA",
            "state": "TN",
            "postal_code": "377012428",
            "telephone_number": "865-983-0941",
            "fax_number": "865-982-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 SALEM LOOP",
            "city": "GREENBACK",
            "state": "TN",
            "postal_code": "377423201",
            "telephone_number": "865-803-9100",
            "fax_number": "865-982-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K. DARREL CLABOUGH DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "CLABOUGH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "DARREL",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "865-983-0941",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "3957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Armstrong
• James R. Elrod, D.D.S.
• Jody Harris
• Megan Meleah Haynes
• Amber Kapnick, OTR
• Robert Konigsberg, D.O.
• Christine McCracken, OT
• Rerouting Reality, PLLC
• Roots Pediatric Occupational Therapy LLC

• Dentist in Greenback, TN
• Providers in Greenback, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.