Individual provider Active NPI

Donald Wayne Hughart, DDS, MS

  • Endodontics
  • Knoxville, TN
National Provider Identifier
1265754378
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
8347 Issued in TN
Practice address
121 S David LN
Knoxville, TN 37922-3204
Phone
(865) 692-2380
Fax
(865) 692-2382
NPI assigned
Feb 17, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 8347 TN Primary

Addresses

Primary practice location

121 S David LN
Knoxville, TN 37922-3204

Mailing address

PO Box 32768
Knoxville, TN 37930-2768
Phone (865) 692-2380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150724010515 TN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8022321629

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
8347TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
West Valley Endodontics, PLLC Endodontics PastSince Nov 10, 2024 Accepting new patients
D. Wayne Hughart, DDS, Ms, PLLC Endodontics Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1265754378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32768",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379302768",
            "telephone_number": "865-692-2380",
            "fax_number": "865-692-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S DAVID LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223204",
            "telephone_number": "865-692-2380",
            "fax_number": "865-692-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHART",
        "first_name": "DONALD",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TN",
            "license": "8347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.