Michael Ryan Fuchs, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

11058 Issued in TN

Practice address

508 Princeton Rd Ste 101
Johnson City, TN 37601-2060

Phone

(423) 282-2844

NPI assigned

Jun 11, 2019

Sex

Male

Sole proprietor

Yes

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

• Westmoreland Dental Group

  • General Practice Dentistry
  • Johnson City, TN
  • NPI 1831712033
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 11, 2019.

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1154980217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 ALFALFA LN",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376593193",
            "telephone_number": "423-361-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 PRINCETON RD STE 101",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012060",
            "telephone_number": "423-282-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUCHS",
        "first_name": "MICHAEL",
        "middle_name": "RYAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "11058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frontier Health
• Frontier Health
• Frontier Health
• Frontier Health
• Sierra Cheyenne Frosley
• Ruben Fuentes, CRNA
• Erika Marie Fugere, LCSW
• Jordan Fugitt, PHARMD
• Alana Mary Fuhr, PTA
• Aleksandr M. Fuks, M.D.

• All providers in Johnson City, TN
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.