Active NPI
Thomas Korte
- Dentist
- Millington, TN
National Provider Identifier
1144690603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1001089-15
- Practice address
- 5722 Integrity Dr
BLDG S771
Millington, TN 38054-5028 - Phone
- (901) 874-5361
- NPI assigned
- Sep 28, 2015
- Last updated
- Apr 6, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1001089-15 | WI | Primary |
Addresses
Primary practice location
5722 Integrity Dr
BLDG S771
Millington, TN 38054-5028
Mailing address
7711 John Paul Jones Ave
Millington, TN 38053
Phone (616) 560-1821
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180112002031 | AR | Order and Referring Only - Dentist | 5991064222 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1001089-15 | WI | MD | Dentist |
| 4221 | AR | MD | Physical Therapy Assistant |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491436800000",
"number": "1144690603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7711 JOHN PAUL JONES AVE",
"city": "MILLINGTON",
"state": "TN",
"postal_code": "38053",
"telephone_number": "616-560-1821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5722 INTEGRITY DR",
"address_2": "BLDG S771",
"city": "MILLINGTON",
"state": "TN",
"postal_code": "380545028",
"telephone_number": "901-874-5361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORTE",
"first_name": "THOMAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-28",
"last_updated": "2017-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "1001089-15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Millington, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.