Individual provider Active NPI

James M Dash, D.D,S.

  • General Practice Dentistry
  • Madisonville, TN
National Provider Identifier
1124023676
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS-3798 Issued in TN
Practice address
210 Warren St
Madisonville, TN 37354-1090
Phone
(423) 442-3928
Fax
(423) 442-9148
NPI assigned
Jun 20, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS-3798 TN Primary

Addresses

Primary practice location

210 Warren St
Madisonville, TN 37354-1090

Mailing address

210 Warren St
Madisonville, TN 37354-1090
Phone (423) 442-3928

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160523001276 TN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1557650090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS-3798TNMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124023676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WARREN ST",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "373541090",
            "telephone_number": "423-442-3928",
            "fax_number": "423-442-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WARREN ST",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "373541090",
            "telephone_number": "423-442-3928",
            "fax_number": "423-442-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASH",
        "first_name": "JAMES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D,S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS-3798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, TN

Sources for this page

Verify at the official NPI Registry.