Individual provider Active NPI

David Paul Hawk, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lenoir City, TN
National Provider Identifier
1265484059
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DPM562 Issued in TN
Practice address
125 Town Creek Rd E
Suite 3
Lenoir City, TN 37772-5612
Phone
(865) 986-2700
Fax
(865) 986-8096
NPI assigned
May 17, 2006
Last updated
Mar 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X DPM562 TN Primary

Addresses

Primary practice location

125 Town Creek Rd E
Suite 3
Lenoir City, TN 37772-5612

Mailing address

125 Town Creek Rd E
Suite 3
Lenoir City, TN 37772-5612
Phone (865) 986-2700

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL tnfootankle@yahoo.com Direct

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DPM562TNMDFoot & Ankle Surgery Podiatrist
562TNMDPhysician Assistant

Organizations & group practices 1

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1265484059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 TOWN CREEK RD E",
            "address_2": "SUITE 3",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725612",
            "telephone_number": "865-986-2700",
            "fax_number": "865-986-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 TOWN CREEK RD E",
            "address_2": "SUITE 3",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725612",
            "telephone_number": "865-986-2700",
            "fax_number": "865-986-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWK",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "DPM562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tnfootankle@yahoo.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "125 Town Creek Rd E",
            "address_2": "Suite 3",
            "city": "Lenoir City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377725612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lenoir City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.