NPIMap

Organization Active NPI

Appalachian Dental Associates, P.C.

  • General Practice Dentistry
  • Johnson City, TN
National Provider Identifier
1174977953
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
APPALACHIAN DENTAL ASSOCIATES, P.C.
Practice address
801 Sunset Dr
Building a, Suite 5
Johnson City, TN 37604-3033
Phone
(423) 283-4442
Fax
(423) 283-3064
NPI assigned
Apr 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Authorized official

Name
Sue Ann Cooper
Title
Office Administrator
Phone
(423) 283-4442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

801 Sunset Dr
Building a, Suite 5
Johnson City, TN 37604-3033

Mailing address

801 Sunset Dr
Building a, Suite 5
Johnson City, TN 37604-3033
Phone (423) 283-4442

National Provider Directory

National Provider Directory

Locations

801 Sunset Dr
#A5
Johnson City, TN 37604
Phone (423) 283-4442

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1174977953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SUNSET DR",
            "address_2": "BUILDING A, SUITE 5",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376043033",
            "telephone_number": "423-283-4442",
            "fax_number": "423-283-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SUNSET DR",
            "address_2": "BUILDING A, SUITE 5",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376043033",
            "telephone_number": "423-283-4442",
            "fax_number": "423-283-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN DENTAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "423-283-4442"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.