David O Pickett, DMD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

9474 Issued in TN

Practice address

248 N Peters Rd
Ste 3
Knoxville, TN 37923-4925

Phone

(865) 691-0918

Fax

(865) 691-6215

NPI assigned

Apr 6, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Oral Surgery

Education

University of Florida College of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pickett Oral Surgery PCGroup PAC ID 7719149194, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University Health System, Inc Hospital, Knoxville, TN, CCN 440015
• Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Pickett Oral Surgery PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Knoxville, TN
  • NPI 1275809394
  Medicare reassignment Care Compare group NPD Authorized official
• Regional Trauma Surgeons

  • Trauma Surgery Physician
  • Knoxville, TN
  • NPI 1720007941
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Parkwest Medical Center

  dba Peninsula Div Parkwest MC

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1396739165
  Care Compare affiliation
• University Health System, Inc.

  dba University of Tennessee Medical Center

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1538164090
  Care Compare affiliation

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1164664140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 N PETERS RD STE 1",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234925",
            "telephone_number": "865-691-0918",
            "fax_number": "865-691-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 N PETERS RD",
            "address_2": "STE 3",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234925",
            "telephone_number": "865-691-0918",
            "fax_number": "865-691-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKETT",
        "first_name": "DAVID",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-06",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TN",
            "license": "9474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pickering & Allen Orthodontics
• Catherine Borgeson Pickering, O.D.
• James Thomas Pickering, DDS
• Pickett Oral Surgery PC
• Bruce E Pickett, COTA/ L
• James Pickett
• Joshua Logan Pickett
• Lisa L Pickett, LPN
• Audrey L. Picklesimer, MS,RD,LDN
• Jennifer M Pickwell, NP

• Oral & Maxillofacial Surgery (D.M.D.) in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.