Michelle K Dilks, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO0000002370 Issued in TN

Practice address

1406 Tusculum Blvd
Suite 1200a
Greeneville, TN 37745-4332

Phone

(423) 783-5520

Fax

(423) 783-5521

NPI assigned

Jul 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1194925487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 TUSCULUM BLVD",
            "address_2": "SUITE 1200A",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454332",
            "telephone_number": "423-783-5520",
            "fax_number": "423-783-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 TUSCULUM BLVD",
            "address_2": "SUITE 1200A",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454332",
            "telephone_number": "423-783-5520",
            "fax_number": "423-783-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILKS",
        "first_name": "MICHELLE",
        "middle_name": "K",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS013484",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "DO0000002370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q009564",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawrence S. Dewitte, P.A.
• Kaitlyn Diddle
• Krislee Dee Dier
• Michele Lynn Dietz
• Robert C Diez Daux, MD
• Dogwood Medicine and Infectious Disease PLLC
• Tammie Douthat, SLP-CCC
• Dr Mandeep Bakshi Pulmonary & Sleep Medicine
• Dr. Chris Bullington D.D.S
• DRS. Mark & Steven Smith

• Family Medicine Physician in Greeneville, TN
• Providers in Greeneville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.