Active NPI
Gregory Alan Eckel, DDS
- General Practice Dentistry
- Copperhill, TN
National Provider Identifier
1225334121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9117
- Practice address
- 102 Grand Avenue
Copperhill, TN 37317 - Phone
- (423) 496-5503
- NPI assigned
- Feb 10, 2011
- Last updated
- Feb 10, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9117 | TN | Primary |
Addresses
Primary practice location
102 Grand Avenue
Copperhill, TN 37317
Mailing address
102 Grand Avenue
Copperhill, TN 37317
Phone (423) 496-5503
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9117 | TN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297296000000",
"number": "1225334121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 GRAND AVENUE",
"city": "COPPERHILL",
"state": "TN",
"postal_code": "37317",
"telephone_number": "423-496-5503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 GRAND AVENUE",
"city": "COPPERHILL",
"state": "TN",
"postal_code": "37317",
"telephone_number": "423-496-5503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKEL",
"first_name": "GREGORY",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-10",
"last_updated": "2011-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "9117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Copperhill, TN
- Copper Basin Family Practice Inc.
- Copper Basin Surgical Associates, Inc
- Dac of Copperhill LLC (Diversicare of Copper Basin)
- Doctors of General Practice and Healing Arts, PC
- East Tennessee Eyecare Associates, PC
- Emcare Physician Providers, Inc
- Family Medical Clinic PLLC
- Georgia Cancer Specialists I, PC
- Grace Health Services PLLC
- Mary F. Haire, R.N.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.