NPIMap

Organization Active NPI

Erwin Dental Associates, P.C.

  • General Practice Dentistry
  • Erwin, TN
National Provider Identifier
1184770265
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
005285 Issued in TN
Legal business name
ERWIN DENTAL ASSOCIATES, P.C.
Practice address
600 N Main Ave
Erwin, TN 37650-1392
Phone
(423) 743-6144
Fax
(423) 743-6884
NPI assigned
Jan 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Wallace Carlo Hoskins, D.D.S.
Title
Owner
Phone
(423) 743-6144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 005285 TN Primary

Addresses

Primary practice location

600 N Main Ave
Erwin, TN 37650-1392

Mailing address

600 N Main Ave
Erwin, TN 37650-1392
Phone (423) 743-6144

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184770265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N MAIN AVE",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376501392",
            "telephone_number": "423-743-6144",
            "fax_number": "423-743-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N MAIN AVE",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376501392",
            "telephone_number": "423-743-6144",
            "fax_number": "423-743-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERWIN DENTAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOSKINS",
        "authorized_official_first_name": "WALLACE",
        "authorized_official_middle_name": "CARLO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-743-6144",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "005285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erwin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.