Individual provider Active NPI

Erin Cummins Giacomini, D.M.D.

  • Dentist
  • Maryville, TN
National Provider Identifier
1194923649
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS7141 Issued in TN
Practice address
1401 Montvale Station Rd
Maryville, TN 37803-5815
Phone
(865) 984-3800
Fax
(865) 984-5777
NPI assigned
Jul 6, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS7141 TN Primary

Addresses

Primary practice location

1401 Montvale Station Rd
Maryville, TN 37803-5815

Mailing address

1401 Montvale Station Rd
Maryville, TN 37803-5815
Phone (865) 984-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS7141TNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Owen DDS, PLLC PastSince Feb 26, 2023 Accepting new patients
Maryville Dental Care PastSince Oct 2, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194923649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MONTVALE STATION RD",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378035815",
            "telephone_number": "865-984-3800",
            "fax_number": "865-984-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MONTVALE STATION RD",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378035815",
            "telephone_number": "865-984-3800",
            "fax_number": "865-984-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIACOMINI",
        "first_name": "ERIN",
        "middle_name": "CUMMINS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS7141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.