Individual provider Active NPI

John Arthur Masengill, DDS

  • General Practice Dentistry
  • Seymour, TN
National Provider Identifier
1275730327
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8691 Issued in TN
Practice address
127 W Macon LN
Suite 1
Seymour, TN 37865-4776
Phone
(865) 573-7330
NPI assigned
Jul 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8691 TN Primary

Addresses

Primary practice location

127 W Macon LN
Suite 1
Seymour, TN 37865-4776

Mailing address

1613 Wheaton PL
Knoxville, TN 37919-8981
Phone (865) 356-6929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8691TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Patrick Daniel DMD PLLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1275730327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 WHEATON PL",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379198981",
            "telephone_number": "865-356-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 W MACON LN",
            "address_2": "SUITE 1",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378654776",
            "telephone_number": "865-573-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASENGILL",
        "first_name": "JOHN",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "8691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, TN

Sources for this page

Verify at the official NPI Registry.