Organization Active NPI

Dowell Springs Medical LLC.

Doing business as Dowell Springs Medical

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
National Provider Identifier
1063865962
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DOWELL SPRINGS MEDICAL LLC.
Doing business as
Dowell Springs Medical
Practice address
6908 Hospitality Cir Ste B
Knoxville, TN 37909-1105
Phone
(865) 444-1200
Fax
(865) 862-4878
NPI assigned
Jul 15, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Randall Boyd Debord Sr., C.PED., L.PED., CFO.
Title
President
Phone
(423) 312-7070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

6908 Hospitality Cir Ste B
Knoxville, TN 37909-1105

Mailing address

PO Box 2107
Morristown, TN 37816-2107
Phone (423) 581-1118

Other names 1

  • Dowell Springs Medical Doing business as

National Provider Directory

National Provider Directory

Locations

6908 Hospitality Cir
Ste B
Knoxville, TN 37909
Phone (865) 444-1200

Practitioners & affiliated clinicians

Practitioners 1

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": "1468540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1063865962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2107",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378162107",
            "telephone_number": "423-581-1118",
            "fax_number": "423-581-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6908 HOSPITALITY CIR STE B",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091105",
            "telephone_number": "865-444-1200",
            "fax_number": "865-862-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWELL SPRINGS MEDICAL LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DEBORD",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-312-7070",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "C.PED., L.PED., CFO."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dowell Springs Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 2022; 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.