Active NPI
Mary Ellen Dobbs, D.D.S., M.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Knoxville, TN
National Provider Identifier
1285078501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DS0000009053
- Practice address
- 1516 Coleman Rd
Suite 208
Knoxville, TN 37909-3809 - Phone
- (865) 588-1644
- NPI assigned
- Apr 18, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DS0000009053 | TN | Primary |
Addresses
Primary practice location
1516 Coleman Rd
Suite 208
Knoxville, TN 37909-3809
Mailing address
1516 Coleman Rd
Suite 208
Knoxville, TN 37909-3809
Phone (865) 588-1644
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS0000009053 | TN | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383609600000",
"number": "1285078501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1516 COLEMAN RD",
"address_2": "SUITE 208",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379093809",
"telephone_number": "865-588-1644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1516 COLEMAN RD",
"address_2": "SUITE 208",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379093809",
"telephone_number": "865-588-1644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBBS",
"first_name": "MARY",
"middle_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-18",
"last_updated": "2013-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TN",
"license": "DS0000009053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.