Organization Active NPI

Advanced Medical Technologies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
National Provider Identifier
1194728782
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0000000657 Issued in TN
Legal business name
ADVANCED MEDICAL TECHNOLOGIES, INC.
Practice address
5306 N Middlebrook Pike
Knoxville, TN 37921-5910
Phone
(865) 588-2010
Fax
(865) 584-0710
NPI assigned
May 27, 2005
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
Mr. Dallas Jones
Title
President
Phone
(865) 588-2010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0000000657 TN Primary

Addresses

Primary practice location

5306 N Middlebrook Pike
Knoxville, TN 37921-5910

Mailing address

5306 N Middlebrook Pike
Knoxville, TN 37921-5910
Phone (865) 588-2010

Other identifiers 3

IdentifierTypeStateIssuer
4019590OtherTNBLUE CROSS BLUE SHIELD
7316377OtherTNAETNA
1454183MedicaidTN

National Provider Directory

National Provider Directory

Locations

5306 N Middlebrook Pike
Knoxville, TN 37921
Phone (865) 588-2010

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194728782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5306 N MIDDLEBROOK PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379215910",
            "telephone_number": "865-588-2010",
            "fax_number": "865-584-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5306 N MIDDLEBROOK PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379215910",
            "telephone_number": "865-588-2010",
            "fax_number": "865-584-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL TECHNOLOGIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DALLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-588-2010",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "0000000657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4019590",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7316377",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454183",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, 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.