Adam Fusco, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS8177 Issued in TN

Practice address

60 Crossville Medical Dr
Suite 115
Crossville, TN 38555-2500

Phone

(931) 484-1759

NPI assigned

Jul 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063434934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CROSSVILLE MEDICAL DR",
            "address_2": "SUITE 115",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385552500",
            "telephone_number": "931-484-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CROSSVILLE MEDICAL DR",
            "address_2": "SUITE 115",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385552500",
            "telephone_number": "931-484-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSCO",
        "first_name": "ADAM",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS8177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Alan Fox, MD
• Joe Lynn Frazier, PT
• Alasondra Diana Freeborn, PA-C
• Courtney Freels, FNP
• Jenna Joan Friend, AU.D.
• Michael Stewart Galloway, M.D.
• Beverly Joan Gardner, PA-C
• Amanda Michelle Garman, M.D.
• Gary Wikert MD PLLC
• Honey Geer

• General Practice Dentistry in Crossville, TN
• Providers in Crossville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.