Irene Duck, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

12275 Issued in TN

Practice address

474 Industrial LN
Oneida, TN 37841

Phone

(423) 286-8600

NPI assigned

Jun 26, 2023

Last updated

Jul 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Irene Thomas Former name

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mountain Peoples Health Councils Inc

  dba Mountain Peoples Oneida Clinic

  • Federally Qualified Health Center (FQHC)
  • Oneida, TN
  • NPI 1871594333
  Medicare reassignment NPD
• Mountain People's Health Councils, Inc

  • Federally Qualified Health Center (FQHC)
  • Oneida, TN
  • NPI 1649011875
  NPD
• Mountain Peoples Health Councils Inc

  • Dental Clinic/Center
  • Oneida, TN
  • NPI 1649635939
  NPD
• Mountain Peoples Health Councils Inc

  dba Area Health Center

  • Federally Qualified Health Center (FQHC)
  • Huntsville, TN
  • NPI 1720043615
  NPD

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1093491896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 INDUSTRIAL LN",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "37841",
            "telephone_number": "423-286-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 INDUSTRIAL LN",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "37841",
            "telephone_number": "423-286-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCK",
        "first_name": "IRENE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "12275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRENE",
            "last_name": "THOMAS",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Discover Health Care of Oneida, PLLC
• Amanda J Dougan
• Tara Mistell Douglas
• DRS Coffey (Life Choices Wellness Clinic)
• DRS Coffey Internal Medicine LLC
• Raelan Duncan, NP
• Anthony Blake Dunlap, PHARM. D.
• Sarah L Dunlap, C.PH.T.
• East Tennessee Addiction Specialists
• East Tennessee Medical Group, P.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.